Healthcare Provider Details

I. General information

NPI: 1386930782
Provider Name (Legal Business Name): JOSE MANUEL ARMAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9740 SW 40TH ST STE 6
MIAMI FL
33165-4067
US

IV. Provider business mailing address

4960 SW 72ND AVE SUITE 406
MIAMI FL
33155-5544
US

V. Phone/Fax

Practice location:
  • Phone: 305-226-6265
  • Fax:
Mailing address:
  • Phone: 305-662-5200
  • Fax: 305-667-1275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME120572
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: