Provider Demographics
NPI:1750419164
Name:MORO, ANARIS
Entity type:Individual
Prefix:DR
First Name:ANARIS
Middle Name:
Last Name:MORO
Suffix:
Gender:F
Credentials:
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 1535
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-1535
Mailing Address - Country:US
Mailing Address - Phone:787-617-1974
Mailing Address - Fax:787-763-9663
Practice Address - Street 1:8 CALLE ESTRELLA S
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2600
Practice Address - Country:US
Practice Address - Phone:787-617-1974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2341103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical