Provider Demographics
NPI:1073758728
Name:MORALES FEBLES, MARTA I
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:I
Last Name:MORALES FEBLES
Suffix:
Gender:F
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 K NUEVA VIDA EL TUQUE R-8
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-647-0069
Mailing Address - Fax:787-841-5841
Practice Address - Street 1:CALLE K NUEVA VIDA EL TUQUE R-8
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-647-0069
Practice Address - Fax:787-841-5841
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0050008Medicare UPIN