MEDICARE: JORGE FERNANDO ARIAS

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	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1689188179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE FERNANDO ARIAS

Provider Business Mailing Address
First Line	:	400 ARTHUR GODFREY RD STE 305
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33140-3523
Country	:	US
Telephone Number	:	305-674-8586
Fax Number	:	305-674-6686

Provider Business Practice Location Address
First Line	:	400 ARTHUR GODFREY RD STE 305
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33140-3523
Country	:	US
Telephone Number	:	305-674-8586
Fax Number	:	305-674-6686

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

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	11/21/2017

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Directions to “ JORGE FERNANDO ARIAS ” Practice Location

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