Provider Demographics
NPI:1093146102
Name:RICARDO OLIVERAS MORALES
Entity Type:Organization
Organization Name:RICARDO OLIVERAS MORALES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRABAJADOR SOCIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:787-204-9733
Mailing Address - Street 1:HC 3 BOX 15234
Mailing Address - Street 2:BO. JACAGUAS
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9858
Mailing Address - Country:US
Mailing Address - Phone:787-204-9733
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 15234
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9858
Practice Address - Country:US
Practice Address - Phone:787-204-9733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-29
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19317251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management