Provider Demographics
NPI:1306907407
Name:ARANGO, ABELARDO (MD)
Entity type:Individual
Prefix:
First Name:ABELARDO
Middle Name:
Last Name:ARANGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3661 S MIAMI AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133
Mailing Address - Country:US
Mailing Address - Phone:305-854-5478
Mailing Address - Fax:305-854-8420
Practice Address - Street 1:3661 S MIAMI AVE STE 1001
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4214
Practice Address - Country:US
Practice Address - Phone:305-858-2299
Practice Address - Fax:305-858-2295
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 24937208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053648200Medicaid
FL053648200Medicaid
FL919242Medicare ID - Type Unspecified