Provider Demographics
NPI:1770346066
Name:ANGELI MORALES, ROBERTO JAZIEL
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:JAZIEL
Last Name:ANGELI MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VALLES DE GUAYAMA CALLE 7 D4
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:787-709-8424
Mailing Address - Fax:
Practice Address - Street 1:URB. JARDINES DE LA REINA
Practice Address - Street 2:CALLE REINA DE LAS FLORES A-9
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-709-8424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program