Provider Demographics
NPI:1619297942
Name:MORALES, LISANDRA
Entity Type:Individual
Prefix:
First Name:LISANDRA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:THERAPY
Other - Middle Name:SERVICES
Other - Last Name:SOLUTIONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RT
Mailing Address - Street 1:13-13 CALLE 54
Mailing Address - Street 2:ROYAL TOWN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4505
Mailing Address - Country:US
Mailing Address - Phone:787-923-4085
Mailing Address - Fax:
Practice Address - Street 1:13-13 CALLE 54
Practice Address - Street 2:ROYAL TOWN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4505
Practice Address - Country:US
Practice Address - Phone:787-923-4085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2091227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered