Healthcare Provider Details
I. General information
NPI: 1386972917
Provider Name (Legal Business Name): FARIAS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2009
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
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 BSMT
READING PA
19601-3410
US
V. Phone/Fax
- Phone: 610-374-4576
- Fax: 610-374-5010
- Phone: 484-252-9329
- Fax: 844-465-6331
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD069311L |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
FELIPE
A
ARIAS
Title or Position: OWNER
Credential: M.D.
Phone: 570-419-1819