Healthcare Provider Details
I. General information
NPI: 1477359677
Provider Name (Legal Business Name): ARISTA SALADO MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9240 SW 72ND ST STE 241
MIAMI FL
33173-3265
US
IV. Provider business mailing address
9257 SW 8TH TER
MIAMI FL
33174-3167
US
V. Phone/Fax
- Phone: 305-271-1919
- Fax: 305-271-1911
- Phone: 305-305-2460
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
TERESA
ARISTA-SALADO
Title or Position: APRN
Credential:
Phone: 305-305-2460