Provider Demographics
NPI:1023197290
Name:MORALES, AIRIN A (DC)
Entity Type:Individual
Prefix:MRS
First Name:AIRIN
Middle Name:A
Last Name:MORALES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MM48 ESTRELLA ST
Mailing Address - Street 2:URB MANSION DEL MAR
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-261-8258
Mailing Address - Fax:787-784-7557
Practice Address - Street 1:AVE POS PALMOS 2765 EDIF O FICENTRO
Practice Address - Street 2:SUITE 203
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-261-8258
Practice Address - Fax:787-784-7557
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0050098Medicare ID - Type Unspecified