Healthcare Provider Details

I. General information

NPI: 1710234992
Provider Name (Legal Business Name): DANIELA ARROYO LARREA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2012
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD 910
MIAMI BEACH FL
33140-4556
US

IV. Provider business mailing address

900 S PINE ISLAND RD STE 800
PLANTATION FL
33324-3923
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-3378
  • Fax: 305-532-1164
Mailing address:
  • Phone: 305-532-3378
  • Fax: 305-532-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 116007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: