Provider Demographics
NPI:1518655612
Name:MORALES, DONYBEL (LICENCIADA)
Entity Type:Individual
Prefix:
First Name:DONYBEL
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LICENCIADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0575
Mailing Address - Country:US
Mailing Address - Phone:787-262-1012
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 INT. 130 KM 0.1 BO PUEBLO
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-262-1012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6523103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling