Provider Demographics
NPI:1861205015
Name:MORALES, SOFIA MARGARITA (MD)
Entity type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:MARGARITA
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE FALL # D8-213
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3174
Mailing Address - Country:US
Mailing Address - Phone:787-566-4950
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 30532
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-8513
Practice Address - Country:US
Practice Address - Phone:787-621-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17292-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program