Provider Demographics
NPI:1922075332
Name:MORALES, JOSE OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:OSCAR
Last Name:MORALES
Suffix:
Gender:M
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:PO BOX 191922
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1922
Mailing Address - Country:US
Mailing Address - Phone:787-764-2355
Mailing Address - Fax:787-763-1714
Practice Address - Street 1:24 ACEROLA ST.
Practice Address - Street 2:URB. MILAVILLE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-764-2355
Practice Address - Fax:787-763-1714
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2189207R00000X, 207U00000X, 207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD71239Medicare UPIN
PR81492Medicare ID - Type UnspecifiedPROVIDER NUMBER