Provider Demographics
NPI:1427629856
Name:MORALES RODRIGUEZ, ANA LUZ (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LUZ
Last Name:MORALES RODRIGUEZ
Suffix:
Gender:F
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:HC 6 BOX 62168
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9823
Mailing Address - Country:US
Mailing Address - Phone:787-882-7046
Mailing Address - Fax:
Practice Address - Street 1:#18 KM. 141.1
Practice Address - Street 2:BO. CAIMITAL BAJO, AV. SEVERIANO CUEVAS
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0000
Practice Address - Fax:787-819-0805
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23045208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice