Provider Demographics
NPI:1952165367
Name:MORALES RODRIGUEZ, GILFREDO (BHE)
Entity Type:Individual
Prefix:
First Name:GILFREDO
Middle Name:
Last Name:MORALES RODRIGUEZ
Suffix:
Gender:M
Credentials:BHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIFICIO MEDICO SANTA CRUZ #73
Mailing Address - Street 2:OFICINA 304
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-523-3116
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO MEDICO SANTA CRUZ #73
Practice Address - Street 2:OFICINA 304
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-523-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1031174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator