MEDICARE: HAZEL M. KELLY MORENO

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	103TC0700X	Clinical Psychologist	6374	PR

General Provider Information

NPI Number	:	1780418954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZEL M. KELLY MORENO

Provider Business Mailing Address
First Line	:	CARRETERA 2 INT. 417 , EDIFICIO PONCHO POOL CENTER
Second Line	:	LOCAL 202
City	:	AGUADA
State	:	PR
Zip	:	00602-9998
Country	:	US
Telephone Number	:	787-973-9686
Fax Number	:	999-999-9999

Provider Business Practice Location Address
First Line	:	CARR 2 INT 417 EDIFICIO PUCHO POOL LOCAL 202 BASE 16
Second Line	:
City	:	AGUADA
State	:	PR
Zip	:	00602-9998
Country	:	US
Telephone Number	:	787-973-9686
Fax Number	:

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

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	05/15/2026

Similar Medicare Providers

1881523314 — CAROLINA RIVERA
Practice Location Address:

BARRIO ATALAYA CARR. 411 KM 9.0
AGUADA, PR
00602

Practice Phone: 787-868-0959
Practice Fax: 787-868-0959

1538099718 — YELITZA DIMARIS ORAMA
Practice Location Address:

HC 60 BOX 29006
AGUADA, PR
00602-9201

Practice Phone: 787-314-0427
Practice Fax:

1679403471 — ALEXIS JOEL RUIZ CORTES PHARMD
Practice Location Address:

HC 3 BOX 31959
AGUADA, PR
00602-9735

Practice Phone: 787-951-7324
Practice Fax:

1487537718 — DR. SACHA PEREZ ACEVEDO PH.D.
Practice Location Address:

HC 57 BOX 15762
AGUADA, PR
00602-9871

Practice Phone: 939-258-2046
Practice Fax:

1467381798 — ACF MEDICAL WELLNESS LLC
Practice Location Address:

CARR 2 KM 134.5 BO GUANABANO
AGUADA, PR
00602

Practice Phone: 787-252-3990
Practice Fax:

1366384265 — GRUPO DE BIENESTAR Y DESARROLLO INTEGRAL LLC
Practice Location Address:

CARR. 115 KM. 23.7 , BO. ASOMANTE
AGUADA, PR
00602

Practice Phone: 787-458-4149
Practice Fax:

Directions to “ HAZEL M. KELLY MORENO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.