Provider Demographics
NPI:1467838490
Name:ARIAS-MORALES, RAQUEL MARIA (OTR/L, MS)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:MARIA
Last Name:ARIAS-MORALES
Suffix:
Gender:F
Credentials:OTR/L, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 CALLE 54 SE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3143
Mailing Address - Country:US
Mailing Address - Phone:787-999-5538
Mailing Address - Fax:
Practice Address - Street 1:1260 CALLE 54 SE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3143
Practice Address - Country:US
Practice Address - Phone:787-999-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1127225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist