Provider Demographics
NPI:1063412047
Name:MORALES-BORGES, RAUL H (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:H
Last Name:MORALES-BORGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29 CALLE WASHINGTON
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1510
Mailing Address - Country:US
Mailing Address - Phone:787-722-0412
Mailing Address - Fax:787-723-0554
Practice Address - Street 1:29 CALLE WASHINGTON
Practice Address - Street 2:SUITE # 104
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1510
Practice Address - Country:US
Practice Address - Phone:787-722-0412
Practice Address - Fax:787-723-0554
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10718207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR87654Medicare ID - Type Unspecified
PRG41455Medicare UPIN