Healthcare Provider Details

I. General information

NPI: 1962335265
Provider Name (Legal Business Name): ARCIA PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 W 29TH ST STE 3
HIALEAH FL
33012-5057
US

IV. Provider business mailing address

1051 W 29TH ST STE 3
HIALEAH FL
33012-5057
US

V. Phone/Fax

Practice location:
  • Phone: 305-907-6600
  • Fax: 305-907-6605
Mailing address:
  • Phone: 305-907-6600
  • Fax: 305-907-6605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARILIN REYES
Title or Position: AMBR
Credential: APRN
Phone: 305-907-6600