Healthcare Provider Details

I. General information

NPI: 1023243094
Provider Name (Legal Business Name): ARELIS I BARRIOS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 NW 119TH ST
MIAMI FL
33167-3232
US

IV. Provider business mailing address

1659 NE MIAMI GARDENS DRIVE APT 212
NORTH MIAMI BEACH FL
33179
US

V. Phone/Fax

Practice location:
  • Phone: 305-685-5688
  • Fax: 305-687-1817
Mailing address:
  • Phone: 305-215-8983
  • Fax: 786-413-3642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9265786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: