Healthcare Provider Details
I. General information
NPI: 1679844591
Provider Name (Legal Business Name): ARIAS MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2012
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5590 W 20TH AVE SUITE 100
HIALEAH FL
33016-7070
US
IV. Provider business mailing address
5590 W 20TH AVE SUITE 100
HIALEAH FL
33016-7070
US
V. Phone/Fax
- Phone: 305-556-4420
- Fax: 305-819-6634
- Phone: 305-556-4420
- Fax: 305-819-6634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LUZ
MORIYON
Title or Position: CEO
Credential:
Phone: 954-534-6804