Doctor Name: | MARICELIS MORALES- COLON |
NPI Number: | 1972538825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14430 |
Business Practice Address: | 1962 N John Young Pkwy Kissimmee, FL - 347413221 |
Business Phone Number: | 8662181211 |
Business Fax Number: | 4078095245 |
Mailing Address: | 1962 N John Young Pkwy, KISSIMMEE |
State: | FL |
Postal Code: | 347413221 |
Phone Number: | 8662181211 |
Fax Number: | 4078095245 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14430 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |