MEDICARE: DIGNA VILLAR ARENCIBIA

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	103K00000X	Behavior Analyst	1-20-43383	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518493949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIGNA VILLAR ARENCIBIA

Provider Business Mailing Address
First Line	:	16691 SW 57TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-2571
Country	:	US
Telephone Number	:	305-360-9803
Fax Number	:

Provider Business Practice Location Address
First Line	:	13301 SW 132ND AVE UNIT 209
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-6190
Country	:	US
Telephone Number	:	786-713-5553
Fax Number	:	786-713-5559

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

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	11/17/2022

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Directions to “ DIGNA VILLAR ARENCIBIA ” Practice Location

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