Provider Demographics
NPI:1578787156
Name:MORALES-PARES, JOSE A (MD,)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:MORALES-PARES
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D14 CALLE ZENOBIA
Mailing Address - Street 2:VILLAS DE CUPEY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7610
Mailing Address - Country:US
Mailing Address - Phone:787-761-9632
Mailing Address - Fax:
Practice Address - Street 1:D14 CALLE ZENOBIA
Practice Address - Street 2:VILLAS DE CUPEY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7610
Practice Address - Country:US
Practice Address - Phone:787-923-5492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3481208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics