MEDICARE: CARMEN ARZU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093451635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN ARZU

Provider Business Mailing Address
First Line	:	2845 NW 168TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4432
Country	:	US
Telephone Number	:	786-344-7944
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 NW 168TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4432
Country	:	US
Telephone Number	:	786-344-7944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	05/06/2022

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Directions to “ CARMEN ARZU ” Practice Location

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