Provider Demographics
NPI:1275781585
Name:VEGA MORALES, KARILYN (MD)
Entity Type:Individual
Prefix:
First Name:KARILYN
Middle Name:
Last Name:VEGA MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GLADIOLA D 15 ST.
Mailing Address - Street 2:URB. ALTURAS DEL CAFETAL
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3464
Mailing Address - Country:US
Mailing Address - Phone:787-267-3014
Mailing Address - Fax:
Practice Address - Street 1:GLADIOLA D 15 ST.
Practice Address - Street 2:URB. ALTURAS DEL CAFETAL
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3464
Practice Address - Country:US
Practice Address - Phone:787-267-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17299208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice