DR. JOSE LUIS MORALES VAZQUEZ (NPI# 1659341287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659341287 |
| Entity Type | Individual |
| Full Name | DR. JOSE LUIS MORALES VAZQUEZ |
| Other Name | DR. JOSE LUIS MORALES VAZQUEZ |
| Credential | M.D. |
| Practice Address |
3381 Phillis Blvd Myrtle Beach SC 29577-1560 |
| Practice Telephone | 8434770177 |
| Mailing Telephone | 8434770177 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
15082 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | STATE LICENSE | 15082 | 01 |
| PR | DEA | BM8705634 | 01 |
| Street Address |
3381 PHILLIS BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328970 | Melissa Ann Green | Dietitian, Registered | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2018-03-07 |
| 1144672791 | Emily Heubel | Pharmacist | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2016-07-07 |
| 1255735445 | Dara Ann Williams | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-10-16 |
| 1477967545 | Jorge L Cordova - Ruiz | General Practice | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2014-06-17 |
| 1801209226 | Eric Biscoglio | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-06-03 |
| 1952657843 | Jacqueline D Thomas | Nurse Practitioner | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2012-07-28 |
| 1366721110 | James Michael Caruso | Optometrist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2011-08-10 |
| 1659664233 | Michael Behrens | Pharmacist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2011-05-16 |
| 1326372657 | Skye Leigh King | Social Worker | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2009-09-18 |
| 1811180805 | Joyce A. Greeno | Licensed Practical Nurse | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255848834 | Mobile Medical LLC | Family Medicine | 1002 Shipmaster Ave, Myrtle Beach, SC 29579-5142 | 2018-01-04 |
| 1548219058 | Kenneth Peter Orbeck | Family Medicine | 1240 21st Ave N, Suite 105, Myrtle Beach, SC 29577-7401 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027595 | Ketamine Treatment Services | Family Medicine | 3015 Dunes West Blvd Ste 510, Mount Pleasant, SC 29466-8252 | 2019-08-07 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1164995346 | Rachelle Shepard | Family Medicine | 144 Whitehurst Way, Columbia, SC 29229-8500 | 2019-01-10 |
| 1891035416 | Donald F Wade | Family Medicine | 1728 Vassar Dr, Charleston, SC 29407-4236 | 2013-02-19 |
| 1770880486 | James Stuart Mcdaniel | Family Medicine | 1140 Pilot Boy, Wadmalaw Island, SC 29487-6993 | 2011-02-15 |
| 1356672927 | Bledsoe Family Medicine LLC | Family Medicine | 669 Barr Rd Ste C, Lexington, SC 29072-2369 | 2010-01-21 |
| 1295974509 | John Browning Mcree | Family Medicine | S Carolina Dept of Corrections, Redemption Way, Mc Cormick, SC 29899-0001 | 2009-02-10 |
| 1174795900 | Gordon R. Weigle, Md Pa | Family Medicine | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2008-04-01 |
| 1437370061 | Samuel Johnston Orr | Family Medicine | 140 Forest Hills Dr, Gaffney, SC 29340-2837 | 2007-05-01 |
| 1780613455 | Paul Manuel Espinoza | Family Medicine | 2660 Kinard St, Newberry, SC 29108-2912 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on DR. JOSE LUIS MORALES VAZQUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.