Provider Demographics
NPI:1558544783
Name:ARCACHA, MIGUEL A JR (MD)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:A
Last Name:ARCACHA
Suffix:JR
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 1:2889 10TH AVE N
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3045
Mailing Address - Country:US
Mailing Address - Phone:561-227-3104
Mailing Address - Fax:561-227-3192
Practice Address - Street 1:2889 10TH AVE N
Practice Address - Street 2:SUITE 306
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3045
Practice Address - Country:US
Practice Address - Phone:561-227-3104
Practice Address - Fax:561-227-3192
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100708207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280648700Medicaid
FL3440624OtherCIGNA
FL58417OtherBCBS
FL58417OtherBCBS
FL58417RMedicare PIN
FL3440624OtherCIGNA