MEDICARE: ROSARIO ARES C.CHT

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	172V00000X	Community Health Worker	0618097616	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101Y00000X	OTHER	FL	COUNSELOR

General Provider Information

NPI Number	:	1982836409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSARIO ARES C.CHT

Provider Business Mailing Address
First Line	:	1330 NORTH DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-3545
Country	:	US
Telephone Number	:	305-761-6388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 NORTH DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-3545
Country	:	US
Telephone Number	:	305-761-6388
Fax Number	:

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

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	08/17/2009

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