Provider Demographics
NPI:1104605641
Name:ARTURO CORCES MD PA
Entity type:Organization
Organization Name:ARTURO CORCES MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRATTON CPC
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:305-335-4135
Mailing Address - Street 1:PO BOX 198175
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8175
Mailing Address - Country:US
Mailing Address - Phone:305-595-1317
Mailing Address - Fax:305-279-6813
Practice Address - Street 1:3650 NW 82ND AVE STE 404
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6694
Practice Address - Country:US
Practice Address - Phone:305-595-1317
Practice Address - Fax:305-279-6813
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTURO CORCES MD PA DBA MIAMI INSTITUTE FOR JOINT RECONSTRUCTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty