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NPI Code Detail

MEDICARE: JOHN-PAUL ARIAS DMD

MEDICARE: JOHN-PAUL ARIAS DMD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1720778707
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN-PAUL ARIAS DMD
Provider Business Mailing Address
First Line : 5902 SW RANCHITO ST
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8309
Country : US
Telephone Number : 772-418-3229
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CEDAR AVE
Second Line :
City : LAREDO
State : TX
Zip : 78040-4040
Country : US
Telephone Number : 956-523-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 05/11/2023

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