MEDICARE: JAVIER 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
1	225700000X	Massage Therapist	MA 64926	FL

General Provider Information

NPI Number	:	1326416793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVIER ARENAS

Provider Business Mailing Address
First Line	:	910 COLUMBUS BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2368
Country	:	US
Telephone Number	:	786-395-8543
Fax Number	:

Provider Business Practice Location Address
First Line	:	2122 SW 67TH AVE
Second Line	:	SUITE A
City	:	MIAMI
State	:	FL
Zip	:	33155-1838
Country	:	US
Telephone Number	:	305-521-8557
Fax Number	:

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

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	09/02/2015

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Directions to “ JAVIER ARENAS ” Practice Location

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