Provider Demographics
NPI:1669203659
Name:CHEVEREZ MORALES, MARIA M (CPHT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:CHEVEREZ MORALES
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:M
Other - Last Name:CHEVEREZ MORALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPHT
Mailing Address - Street 1:2428 CALLE LOIZA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00913-4739
Mailing Address - Country:US
Mailing Address - Phone:787-620-9612
Mailing Address - Fax:
Practice Address - Street 1:2428 CALLE LOIZA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913-4739
Practice Address - Country:US
Practice Address - Phone:787-620-9612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR013170183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician