Provider Demographics
NPI:1689854598
Name:MORALES, CARLOS ALBERTO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ALBERTO
Last Name:MORALES
Suffix:JR
Gender:M
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:HC 2 BOX 6244
Mailing Address - Street 2:SECTOR MIJAN
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9762
Mailing Address - Country:US
Mailing Address - Phone:787-897-6759
Mailing Address - Fax:
Practice Address - Street 1:HC 2 BOX 6244
Practice Address - Street 2:SECTOR MIJAN
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-9762
Practice Address - Country:US
Practice Address - Phone:787-897-6759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16939208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice