Organization Active NPI

Santiago Morales MD PA

  • Adult Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1891958484
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME64207 Issued in FL
Legal business name
SANTIAGO MORALES MD PA
Practice address
1840 Mease Dr
Suite 408
Safety Harbor, FL 34695-6602
Phone
(727) 791-7822
Fax
(727) 725-8524
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Santiago Morales, MD PA
Title
President
Phone
(727) 791-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X ME64207 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 408
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr
Suite 408
Safety Harbor, FL 34695-6602
Phone (727) 791-7822

Other identifiers 3

IdentifierTypeStateIssuer
00023678OtherCMS NUMBER
ME64207OtherFLFLORIDA STATE LICENSE
377580100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1840 Mease Dr
Ste 408
Safety Harbor, FL 34695
Phone (727) 791-7322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1891958484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 408",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-791-7822",
            "fax_number": "727-725-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 408",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-791-7822",
            "fax_number": "727-725-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO MORALES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-791-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME64207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS NUMBER",
            "identifier": "00023678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "ME64207",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377580100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.