Provider Demographics
NPI:1598592966
Name:MORALES VEGA, HARRILYS
Entity type:Individual
Prefix:
First Name:HARRILYS
Middle Name:
Last Name:MORALES VEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 CALLE SAUCE
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-2523
Mailing Address - Country:US
Mailing Address - Phone:787-458-5483
Mailing Address - Fax:
Practice Address - Street 1:168 CALLE SAUCE
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-2523
Practice Address - Country:US
Practice Address - Phone:787-458-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR157191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical