Provider Demographics
NPI:1801687512
Name:MORALES RIVERA, AMANDA SOFIA
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:SOFIA
Last Name:MORALES RIVERA
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:RD21 AVE LAS BAHIAS
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-6745
Mailing Address - Country:US
Mailing Address - Phone:939-535-9608
Mailing Address - Fax:
Practice Address - Street 1:RD21 AVE LAS BAHIAS
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6745
Practice Address - Country:US
Practice Address - Phone:939-535-9608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program