1003445974 NPI number — MISS JANITZA EMILY MORALES MS, SLP

Table of content: MISS JANITZA EMILY MORALES MS, SLP (NPI 1003445974)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003445974 NPI number — MISS JANITZA EMILY MORALES MS, SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORALES
Provider First Name:
JANITZA
Provider Middle Name:
EMILY
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MS, SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003445974
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB EL CONQUISTADOR
Provider Second Line Business Mailing Address:
CALL.11 RD9
Provider Business Mailing Address City Name:
TRUJILLO ALTO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00976-6428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-478-2281
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB VILLA CAROLINA
Provider Second Line Business Practice Location Address:
CALL. 506 215-16
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985-3042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-762-6999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  4217 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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