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NPI Code Detail

MEDICARE: SAMANTA ARENAS

MEDICARE: SAMANTA ARENAS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1144167065
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTA ARENAS
Provider Business Mailing Address
First Line : 15722 NW 10TH ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1604
Country : US
Telephone Number : 954-682-2092
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ SAMANTA ARENAS ” Practice Location

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