Provider Demographics
NPI:1710552922
Name:MORALES RAMIREZ, CLARIBEL
Entity Type:Individual
Prefix:
First Name:CLARIBEL
Middle Name:
Last Name:MORALES RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND SAN VICENTE 8169
Mailing Address - Street 2:CALLE CONCORDIA SUITE 412
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-5163
Mailing Address - Country:US
Mailing Address - Phone:787-284-5884
Mailing Address - Fax:787-284-5874
Practice Address - Street 1:COND SAN VICENTE 8169
Practice Address - Street 2:CALE CONCORDIA SUITE 412
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1563
Practice Address - Country:US
Practice Address - Phone:787-284-5884
Practice Address - Fax:787-284-5874
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6645423Medicaid