Provider Demographics
NPI:1316924541
Name:MORALES, IRMA I (MD)
Entity type:Individual
Prefix:DR
First Name:IRMA
Middle Name:I
Last Name:MORALES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1 AVE PALMA REAL APT 1206
Mailing Address - Street 2:MURANO LUXURY APARTMENTS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-7206
Mailing Address - Country:US
Mailing Address - Phone:787-530-8841
Mailing Address - Fax:787-641-5716
Practice Address - Street 1:MURANO LUXURY APT.
Practice Address - Street 2:1 PALMA REAL AVENUE APT. 1206
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-7206
Practice Address - Country:US
Practice Address - Phone:787-530-8841
Practice Address - Fax:787-641-5716
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2023-10-23
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Provider Licenses
StateLicense IDTaxonomies
PR7519208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41339Medicare UPIN