Provider Demographics
NPI:1407917024
Name:JURADO BEQUER, MORAIMA M (MS)
Entity Type:Individual
Prefix:MISS
First Name:MORAIMA
Middle Name:M
Last Name:JURADO BEQUER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D39 CALLE MONTE MEMBRILLO
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8009
Mailing Address - Country:US
Mailing Address - Phone:787-543-8936
Mailing Address - Fax:
Practice Address - Street 1:EDIF LA PALMA
Practice Address - Street 2:14 CALLE PERAL ESQ. DE DIEGO SUITE 2-D
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4861
Practice Address - Country:US
Practice Address - Phone:787-831-3497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR594231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter