Provider Demographics
NPI:1801066592
Name:MORALES AYALA, YLIS MARIE (OT)
Entity type:Individual
Prefix:
First Name:YLIS
Middle Name:MARIE
Last Name:MORALES AYALA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CALLE TORNASOL
Mailing Address - Street 2:URB. MUNOZ RIVERA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3707
Mailing Address - Country:US
Mailing Address - Phone:939-717-5056
Mailing Address - Fax:
Practice Address - Street 1:9 CALLE TORNASOL
Practice Address - Street 2:URB. MUNOZ RIVERA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3707
Practice Address - Country:US
Practice Address - Phone:939-717-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR797225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist