Provider Demographics
NPI:1023305760
Name:MORALES, ANA ALEYDA (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:ALEYDA
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANA
Other - Middle Name:ALEYDA
Other - Last Name:RYCHWALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:263 FARMINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8051
Mailing Address - Country:US
Mailing Address - Phone:860-679-3540
Mailing Address - Fax:860-679-1390
Practice Address - Street 1:263 FARMINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030
Practice Address - Country:US
Practice Address - Phone:860-679-3540
Practice Address - Fax:860-679-1390
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHLT4000207W00000X
OH096153207W00000X
CT062131207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology