Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME92547 | FL |
N | 207YP0228X | Pediatric Otolaryngology | ME92547 | FL |
NPI | 1528052388 |
---|---|
Provider Name | Agustin Javier Arrieta |
First Address | Miami, FL 33196-1271 |
Second Address | Miami, FL 33196-1271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276031200 | (05) | FL |
I34730 | (02) | FL |