Provider Demographics
NPI:1245449040
Name:NAVARRO MORALES, JAVIER ANTONIO (MD)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ANTONIO
Last Name:NAVARRO MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAVIER
Other - Middle Name:A
Other - Last Name:NAVARRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 390
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0390
Mailing Address - Country:US
Mailing Address - Phone:787-645-1172
Mailing Address - Fax:
Practice Address - Street 1:6 VILLA DEL CAPITAN
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1338
Practice Address - Country:US
Practice Address - Phone:787-834-4433
Practice Address - Fax:787-892-6972
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16158174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist