Healthcare Provider Details

I. General information

NPI: 1164178596
Provider Name (Legal Business Name): CARLOS E ARTETA HIGGINS APRN, NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST FL 2
MIAMI FL
33136-2137
US

IV. Provider business mailing address

1150 NW 14TH ST FL 2
MIAMI FL
33136-2137
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6704
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11018083
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: