Provider Demographics
NPI:1134195456
Name:MORALES-MARTINEZ, ALCIRA (MD)
Entity type:Individual
Prefix:
First Name:ALCIRA
Middle Name:
Last Name:MORALES-MARTINEZ
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 1:248, CONDOMINIO SAN JORGE
Mailing Address - Street 2:CALLE PUMARADA, APARTAMENTO 4-A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912
Mailing Address - Country:US
Mailing Address - Phone:787-727-3708
Mailing Address - Fax:787-762-0456
Practice Address - Street 1:248, CONDOMINIO SAN JORGE
Practice Address - Street 2:CALLE PUMARADA, APARTAMENTO 4-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-727-3708
Practice Address - Fax:787-762-0456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4985174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist