Healthcare Provider Details

I. General information

NPI: 1063613206
Provider Name (Legal Business Name): ARTHUR J IGLESIAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9165 PARK DR
MIAMI SHORES FL
33138-3163
US

IV. Provider business mailing address

9165 PARK DR
MIAMI SHORES FL
33138-3163
US

V. Phone/Fax

Practice location:
  • Phone: 305-545-6685
  • Fax: 305-545-6687
Mailing address:
  • Phone: 305-545-6685
  • Fax: 305-545-6687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME 110823
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: