Provider Demographics
NPI:1386750164
Name:ARA-AVENTURA, LLC
Entity type:Organization
Organization Name:ARA-AVENTURA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-632-3415
Mailing Address - Street 1:19056 NE 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2802
Mailing Address - Country:US
Mailing Address - Phone:305-692-9006
Mailing Address - Fax:305-682-9391
Practice Address - Street 1:19056 NE 29TH AVE
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2802
Practice Address - Country:US
Practice Address - Phone:305-692-9006
Practice Address - Fax:305-682-9391
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-22
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL890092200Medicaid
FL890092200Medicaid