Healthcare Provider Details

I. General information

NPI: 1962405910
Provider Name (Legal Business Name): ALABAMA CARDIOVASCULAR GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 10TH AVE S STE 305
BIRMINGHAM AL
35205-1248
US

IV. Provider business mailing address

2700 10TH AVE S STE 305
BIRMINGHAM AL
35205-1248
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-0139
  • Fax: 205-939-4997
Mailing address:
  • Phone: 205-939-0139
  • Fax: 205-939-4997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOAQUIN G. ARCINIEGAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 205-939-0139