Provider Demographics
NPI:1518000504
Name:SILVA MORALES, ADALEE (PSYD)
Entity Type:Individual
Prefix:
First Name:ADALEE
Middle Name:
Last Name:SILVA MORALES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:METRO MEDICAL CENTER
Mailing Address - Street 2:SUITE 809 TORRE A
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-640-2408
Mailing Address - Fax:
Practice Address - Street 1:METRO MEDICAL CENTER
Practice Address - Street 2:SUITE 809 TORRE A
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-640-2408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1546103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089241Medicare ID - Type Unspecified
PRS63117Medicare UPIN