Provider Demographics
NPI:1306142633
Name:DR. OFILIO ARGUELLO, M.D., P.A.
Entity type:Organization
Organization Name:DR. OFILIO ARGUELLO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-225-2800
Mailing Address - Street 1:2500 SW 107TH AVE
Mailing Address - Street 2:SUITE 36
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2470
Mailing Address - Country:US
Mailing Address - Phone:305-225-2800
Mailing Address - Fax:305-225-1118
Practice Address - Street 1:2500 SW 107TH AVE
Practice Address - Street 2:SUITE 36
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2470
Practice Address - Country:US
Practice Address - Phone:305-225-2800
Practice Address - Fax:305-225-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLES567AMedicare PIN