Provider Demographics
NPI:1134325723
Name:MORALES, EMMA (MTSC)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:MTSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BO GUAYANEY
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-4225
Mailing Address - Country:US
Mailing Address - Phone:787-378-3668
Mailing Address - Fax:
Practice Address - Street 1:35 BO GUAYANEY
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4225
Practice Address - Country:US
Practice Address - Phone:787-378-3668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR65421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical