Provider Demographics
NPI:1063529303
Name:MOREL, JAIME J (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:J
Last Name:MOREL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 VEREDA DEL PALMAR
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4371
Mailing Address - Country:US
Mailing Address - Phone:787-795-7514
Mailing Address - Fax:787-795-7514
Practice Address - Street 1:3026 VEREDA DEL PALMAR
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4371
Practice Address - Country:US
Practice Address - Phone:787-565-7612
Practice Address - Fax:787-795-7514
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15007208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021927Medicare ID - Type Unspecified