Provider Demographics
NPI:1336404813
Name:MORALES RIVERA, JANNETTE MARIE (PH D)
Entity type:Individual
Prefix:DR
First Name:JANNETTE
Middle Name:MARIE
Last Name:MORALES RIVERA
Suffix:
Gender:F
Credentials:PH D
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Mailing Address - Street 1:URBANIZACION LA RAMBLA
Mailing Address - Street 2:1901 CALLE MURCIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4062
Mailing Address - Country:US
Mailing Address - Phone:787-488-7401
Mailing Address - Fax:787-844-4569
Practice Address - Street 1:HC 2 BOX 9429
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9676
Practice Address - Country:US
Practice Address - Phone:787-448-7401
Practice Address - Fax:787-844-4569
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2016-03-14
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Provider Licenses
StateLicense IDTaxonomies
PR4299103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical