Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 17802 | PR |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 17802 | PR |
NPI | 1043540925 |
---|---|
Provider Name | Dr. Tamara Morales-Serrano |
First Address | Florida, PR 00650-9304 |
Second Address | San Juan, PR 00921-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2009 |
Last Update Date | 21/12/2016 |