Healthcare Provider Details
I. General information
NPI: 1003250952
Provider Name (Legal Business Name): ARIAS EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2013
Last Update Date: 04/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3733 W FLAGLER ST
CORAL GABLES FL
33134-1601
US
IV. Provider business mailing address
3733 W FLAGLER ST
CORAL GABLES FL
33134-1601
US
V. Phone/Fax
- Phone: 305-456-4849
- Fax: 305-383-7408
- Phone: 305-456-4849
- Fax: 305-383-7408
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
ALEX
ARIAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-456-4849