MEDICARE: NESTOR EDUARDO ARRIETA AA

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1972937159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NESTOR EDUARDO ARRIETA AA

Provider Business Mailing Address
First Line	:	5680 WINGHAM WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6695
Country	:	US
Telephone Number	:	561-253-4091
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 N FLORIDA MANGO RD
Second Line	:	SUITE 402
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6404
Country	:	US
Telephone Number	:	561-855-4993
Fax Number	:	561-899-4995

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

Provider Enumeration Date	:	08/24/2013
Last Update Date	:	08/24/2013

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