Provider Demographics
NPI:1023338613
Name:MORALES, RAQUEL (THL)
Entity type:Individual
Prefix:MISS
First Name:RAQUEL
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 8566
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-9524
Mailing Address - Country:US
Mailing Address - Phone:787-883-0718
Mailing Address - Fax:787-783-1325
Practice Address - Street 1:HC 3 BOX 8566
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-9524
Practice Address - Country:US
Practice Address - Phone:787-883-0718
Practice Address - Fax:787-783-1325
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12052355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant