Healthcare Provider Details
I. General information
NPI: 1982077392
Provider Name (Legal Business Name): JAIME ARANGO CIFUENTES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/06/2015
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7353 NW 4TH ST
PLANTATION FL
33317-2202
US
IV. Provider business mailing address
2007 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6501
US
V. Phone/Fax
- Phone: 954-581-7171
- Fax: 954-641-1451
- Phone: 561-688-5808
- Fax: 561-420-8560
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 19213 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | ACN957 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: