Provider Demographics
NPI:1497204978
Name:MORALES, ANIBAL (MA, BA, CPC)
Entity Type:Individual
Prefix:
First Name:ANIBAL
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:MA, BA, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 S GLADES DR APT 25
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4171
Mailing Address - Country:US
Mailing Address - Phone:786-525-4267
Mailing Address - Fax:
Practice Address - Street 1:1780 S GLADES DR APT 25
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4171
Practice Address - Country:US
Practice Address - Phone:786-525-4267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor