MEDICARE: DR. MARIA EUGENIA ARCILA TORRES

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	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	DN29625	FL

General Provider Information

NPI Number	:	1285361857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA EUGENIA ARCILA TORRES

Provider Business Mailing Address
First Line	:	3454 W 106TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3454 W 106TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4622
Country	:	US
Telephone Number	:	407-720-0519
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	09/29/2024

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