Provider Demographics
NPI:1841529401
Name:RODRIGUEZ MORALES, YOLANDA (DO)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:RODRIGUEZ MORALES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 CALLE RUIZ BELVIS
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-2335
Mailing Address - Country:US
Mailing Address - Phone:787-896-7040
Mailing Address - Fax:787-896-7050
Practice Address - Street 1:281 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2335
Practice Address - Country:US
Practice Address - Phone:787-896-7040
Practice Address - Fax:787-896-7050
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO 5246156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician