Healthcare Provider Details

I. General information

NPI: 1124055371
Provider Name (Legal Business Name): FELIPE ANTONIO ARIAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 PENN ST 2ND FLOOR
READING PA
19601-3410
US

IV. Provider business mailing address

525 PENN ST 2ND FLOOR
READING PA
19601-3410
US

V. Phone/Fax

Practice location:
  • Phone: 610-374-4576
  • Fax: 610-374-5010
Mailing address:
  • Phone: 610-898-0766
  • Fax: 610-374-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD069311L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD069311L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD069311L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: