Provider Demographics
NPI:1467936658
Name:MORALES, FERDINAND
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:647 CALLE LOS ROBLES
Mailing Address - Street 2:CANAS HOUSING
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-974-8169
Mailing Address - Fax:
Practice Address - Street 1:1730 CARR 506
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2925
Practice Address - Country:US
Practice Address - Phone:787-840-8801
Practice Address - Fax:787-840-8798
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist