Provider Demographics
NPI:1730297664
Name:CAMERON-MORALES, SALIA ESTHER (MD)
Entity Type:Individual
Prefix:MRS
First Name:SALIA
Middle Name:ESTHER
Last Name:CAMERON-MORALES
Suffix:
Gender:F
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:CARR 877 840 CONDOMINIO BOSQUE REAL
Mailing Address - Street 2:APT 901
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8240
Mailing Address - Country:US
Mailing Address - Phone:787-748-7967
Mailing Address - Fax:
Practice Address - Street 1:STATE INSURANCE FUND CORPORATION
Practice Address - Street 2:PARQUE INDUSTRIAL ESENIAL B SAN ANTON
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-707-6850
Practice Address - Fax:787-776-2252
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9753208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
G40973Medicare UPIN
PR87802Medicare ID - Type Unspecified