Provider Demographics
NPI:1003092891
Name:MORALES ORTIZ, SHEIKA MARIELIS (PSY D)
Entity Type:Individual
Prefix:DR
First Name:SHEIKA
Middle Name:MARIELIS
Last Name:MORALES ORTIZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 834
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-0834
Mailing Address - Country:US
Mailing Address - Phone:787-734-1430
Mailing Address - Fax:
Practice Address - Street 1:59 CALLE MUNOZ MARIN
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3646
Practice Address - Country:US
Practice Address - Phone:939-717-7317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2880103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical