Provider Demographics
NPI:1104454552
Name:ARREAZA, DAN J
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:J
Last Name:ARREAZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 E 25TH ST STE 414
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3835
Mailing Address - Country:US
Mailing Address - Phone:305-835-7588
Mailing Address - Fax:305-835-6372
Practice Address - Street 1:777 E 25TH ST STE 414
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3835
Practice Address - Country:US
Practice Address - Phone:305-835-7588
Practice Address - Fax:305-835-6372
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.150630207W00000X
FLME175309207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology