Carlos M Morales Mitti, B.A.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1207 Chestnut St
5TH Floor
Philadelphia, PA 19107-4101

Phone

(215) 851-1822

Fax

(215) 851-1775

NPI assigned

Jun 9, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1740416320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 CORAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344039",
            "telephone_number": "215-459-7301",
            "fax_number": "215-851-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CHESTNUT ST",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074101",
            "telephone_number": "215-851-1822",
            "fax_number": "215-851-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES MITTI",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101708256",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Moquete, MA
• Jorge Ignacio Mora, M.D.
• Keshia Mora
• Katrina Jean Morace, CRNP
• Brenda Caridad Morales Correa
• Tatiana Carolina Morales Tisnes
• Anna Morales-Caraballo, DNP,CRNP,FNP-BC
• Antonio Luis Morales
• Carrie Zimmerman Morales, MD
• Daniel Marcus Morales, MSN, CRNP

• Community Health Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community Health Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.