Provider Demographics
NPI:1851843866
Name:MORALES-REYES, RAUL N SR (RD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:N
Last Name:MORALES-REYES
Suffix:SR
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 CALLE GRALTE APRT 2703
Mailing Address - Street 2:COND LOMA ALTA VILLAGE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 CALLE GRALTE APRT 2703
Practice Address - Street 2:COND LOMA ALTA VILLAGE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-988-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered