Healthcare Provider Details

I. General information

NPI: 1093389884
Provider Name (Legal Business Name): NICHOLAS ARIAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE FL 33155
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE FL 33155
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 305-669-5818
  • Fax:
Mailing address:
  • Phone: 786-624-2833
  • Fax: 305-669-6531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number168472
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: