Provider Demographics
NPI:1588070908
Name:MORALES ROSADO, WILNELYA (MD)
Entity type:Individual
Prefix:
First Name:WILNELYA
Middle Name:
Last Name:MORALES ROSADO
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:PO BOX 194431
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-4431
Mailing Address - Country:US
Mailing Address - Phone:787-241-7003
Mailing Address - Fax:
Practice Address - Street 1:URB. CONTESSA EDIFICIO OILER EE10
Practice Address - Street 2:PRIMER PISO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00955
Practice Address - Country:US
Practice Address - Phone:617-416-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2820772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry