Provider Demographics
NPI:1205452505
Name:MORALES ANARELA, CARLOS (CBHCM)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:MORALES ANARELA
Suffix:
Gender:M
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9531 FONTAINEBLEAU BLVD APT 401
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-6831
Mailing Address - Country:US
Mailing Address - Phone:305-335-4508
Mailing Address - Fax:
Practice Address - Street 1:9531 FONTAINEBLEAU BLVD APT 401
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-6831
Practice Address - Country:US
Practice Address - Phone:305-335-4508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM100150171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator