Provider Demographics
NPI:1063508430
Name:MORALES PADRO, JOSE M (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:M
Last Name:MORALES PADRO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:ST #6 BLOQ J 10
Mailing Address - Street 2:URB EL MIRADOR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-753-0892
Mailing Address - Fax:787-765-5317
Practice Address - Street 1:MIDTOWN SUITE 906 HATO REY
Practice Address - Street 2:PONCE DE LEON AVE 420
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-0892
Practice Address - Fax:787-765-5317
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR81352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0081662Medicare ID - Type Unspecified