Healthcare Provider Details

I. General information

NPI: 1285096669
Provider Name (Legal Business Name): ARIEL J. MIR REMEDIOS SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 SW 8TH ST STE 25
MIAMI FL
33174-2968
US

IV. Provider business mailing address

9600 SW 8TH ST STE 25
MIAMI FL
33174-2968
US

V. Phone/Fax

Practice location:
  • Phone: 786-656-2672
  • Fax: 786-542-6926
Mailing address:
  • Phone: 786-656-2672
  • Fax: 786-542-6926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN859
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: