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General NPI Number Information
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NPI Number | 1285096669
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Entity Type | Individual
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Provider Name | ARIEL J. MIR REMEDIOS SR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 50 NW 15TH ST STE 101
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City | HOMESTEAD
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State | FL
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Zip | 33030-4267
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Country | US
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Telephone | 786-886-1030
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Fax | 786-377-9629
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Provider Business Mailing Address
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Address Line | 5190 NW 167TH ST STE 109
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6329
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Country | US
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Telephone | 305-384-6450
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Fax | 305-384-6456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 19280
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN859
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License Number State | FL
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