Provider Demographics
NPI:1093565210
Name:MORALES FIGUEROA, LUISA (PSYD)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:
Last Name:MORALES FIGUEROA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2464
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00951-2464
Mailing Address - Country:US
Mailing Address - Phone:787-794-0020
Mailing Address - Fax:
Practice Address - Street 1:CARR 854 KM 3.5 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00951-2662
Practice Address - Country:US
Practice Address - Phone:787-794-0020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1325103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical