Provider Demographics
NPI:1063043958
Name:MORALES PEREZ, JOSE ORLANDO
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ORLANDO
Last Name:MORALES PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 1A D70
Mailing Address - Street 2:URB. SUNNY HILLS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-457-9077
Mailing Address - Fax:
Practice Address - Street 1:EXT SUNNY HILLS
Practice Address - Street 2:CALLE 1A D70
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-457-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty