Provider Demographics
NPI:1063613206
Name:IGLESIAS, ARTHUR J (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:J
Last Name:IGLESIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 NW 95TH ST
Mailing Address - Street 2:CANCER CENTER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2038
Mailing Address - Country:US
Mailing Address - Phone:305-835-6173
Mailing Address - Fax:305-694-3671
Practice Address - Street 1:1100 NW 95TH ST
Practice Address - Street 2:CANCER CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2038
Practice Address - Country:US
Practice Address - Phone:305-835-6173
Practice Address - Fax:305-694-3671
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1108232085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8212843OtherCIGNA
FLP01598277OtherRR MEDICARE
FLP1035569OtherFREEDOM
FLP971334OtherOPTIMUM
FL349742OtherAVMED
FL004281700Medicaid
FL12827OtherDIMENSION
FL14H7POtherBCBS
FL916161OtherWELLCARE
FLFJ074XMedicare PIN
FL349742OtherAVMED