Provider Demographics
NPI:1912116625
Name:MORALES, ZAIDEE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAIDEE
Middle Name:M
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZAIDEE
Other - Middle Name:M
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6 VILLA DEL CAPITAN
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1338
Mailing Address - Country:US
Mailing Address - Phone:787-834-4433
Mailing Address - Fax:787-892-6972
Practice Address - Street 1:6 VILLA DEL CAPITAN
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1338
Practice Address - Country:US
Practice Address - Phone:787-834-4434
Practice Address - Fax:787-892-6972
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6022174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist