Provider Demographics
NPI:1386961670
Name:ZAYAS MORALES, CORALIMAR (MS PHL)
Entity type:Individual
Prefix:MISS
First Name:CORALIMAR
Middle Name:
Last Name:ZAYAS MORALES
Suffix:
Gender:F
Credentials:MS PHL
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 758
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-0758
Mailing Address - Country:US
Mailing Address - Phone:787-371-6137
Mailing Address - Fax:
Practice Address - Street 1:CAR. 171
Practice Address - Street 2:BO. SUD
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-0758
Practice Address - Country:US
Practice Address - Phone:787-484-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4053235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist