Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 31621 | PR |
NPI | 1003289836 |
---|---|
Provider Name | Dr. Wilmer Eliezer Morales-Hernandez |
First Address | Ponce, PR 00733-6810 |
Second Address | Ponce, PR 00716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2015 |
Last Update Date | 22/06/2018 |