MEDICARE: DR. JOSE ARNULFO MORALES M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5986	PR

General Provider Information

NPI Number	:	1770686107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ARNULFO MORALES M.D

Provider Business Mailing Address
First Line	:	PO BOX 9063
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-9063
Country	:	US
Telephone Number	:	787-798-9512
Fax Number	:	787-269-6020

Provider Business Practice Location Address
First Line	:	CALLE SANTA CRUZ # 73,EDIFICIO MEDICO
Second Line	:	SUITE 306
City	:	BAYAMON
State	:	PR
Zip	:	00959-0959
Country	:	US
Telephone Number	:	787-798-9512
Fax Number	:	787-269-6020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	12/08/2008

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