Provider Demographics
NPI:1326287186
Name:MORALES, EDWIN DAVIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:DAVIS
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 484
Mailing Address - Street 2:
Mailing Address - City:PUERTO REAL
Mailing Address - State:PR
Mailing Address - Zip Code:00740-0484
Mailing Address - Country:US
Mailing Address - Phone:787-209-8888
Mailing Address - Fax:787-270-1081
Practice Address - Street 1:CONDOMINIO LA LOMA
Practice Address - Street 2:N-304
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-209-8888
Practice Address - Fax:787-270-1081
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7961207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine