Provider Demographics
NPI:1689704488
Name:MORALES VELEZ, YANISSA (MS-A)
Entity Type:Individual
Prefix:MRS
First Name:YANISSA
Middle Name:
Last Name:MORALES VELEZ
Suffix:
Gender:F
Credentials:MS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 VISTA DE LOS FRAILES CARR 873 # 84
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-453-6373
Mailing Address - Fax:
Practice Address - Street 1:200 AVE. WINSTON CHURCHILL SUITE 301
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-759-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR597231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist