Provider Demographics
NPI:1902176324
Name:DEL RIO-MORALES, RICARDO J (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:J
Last Name:DEL RIO-MORALES
Suffix:
Gender:M
Credentials:PHD
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 10226
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-1226
Mailing Address - Country:US
Mailing Address - Phone:939-639-8820
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1, LOTE 7
Practice Address - Street 2:SUITE 204
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-200-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4096103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist