MEDICARE: DR. SOLEDAD ARGUELLES PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY 0005816	FL

General Provider Information

NPI Number	:	1457570996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOLEDAD ARGUELLES PHD

Provider Business Mailing Address
First Line	:	2000 SW 27TH AVE STE 204
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2546
Country	:	US
Telephone Number	:	305-448-5345
Fax Number	:	305-448-5345

Provider Business Practice Location Address
First Line	:	2000 SW 27TH AVE STE 204
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2546
Country	:	US
Telephone Number	:	305-448-5345
Fax Number	:	305-448-5345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/09/2007

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