Provider Demographics
NPI:1790437705
Name:MORALES VIGO, YALEZKA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:YALEZKA
Middle Name:MARIE
Last Name:MORALES VIGO
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 1:271 CAMINO SONSIRE
Mailing Address - Street 2:BO. MIRADERO
Mailing Address - City:MAYAGUEZ, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7833
Mailing Address - Country:US
Mailing Address - Phone:939-246-0121
Mailing Address - Fax:
Practice Address - Street 1:271 CAMINO SONSIRE
Practice Address - Street 2:BO. MIRADERO
Practice Address - City:MAYAGUEZ, PR
Practice Address - State:PR
Practice Address - Zip Code:00682-7833
Practice Address - Country:US
Practice Address - Phone:939-246-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program