Healthcare Provider Details

I. General information

NPI: 1366903536
Provider Name (Legal Business Name): ROBOAN IDSART GUILLEN ARGUELLO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8731 PEAR ST
NEW ORLEANS LA
70118-2633
US

IV. Provider business mailing address

600 5TH STREET SOUTH 4TH FLOOR
ST PETERSBURG FL
33701
US

V. Phone/Fax

Practice location:
  • Phone: 305-510-3838
  • Fax:
Mailing address:
  • Phone: 727-767-8181
  • Fax: 727-767-8030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number332735
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number332735
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: