Provider Demographics
NPI:1730079690
Name:JAIME MORALES, JIPSI MARIE
Entity type:Individual
Prefix:
First Name:JIPSI
Middle Name:MARIE
Last Name:JAIME MORALES
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:CENTRAL PARKS APARTMENTS OF SAN JUAN
Mailing Address - Street 2:EDIF D , APARTAMENTO D6
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:939-216-1558
Mailing Address - Fax:
Practice Address - Street 1:SECTOR CUESTA LOS JOBOS
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-0756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program