Provider Demographics
NPI:1093223497
Name:LINARES VARELA, ARIEL HERIBERTO (ARNP)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:HERIBERTO
Last Name:LINARES VARELA
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13702 SW 48TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-5158
Mailing Address - Country:US
Mailing Address - Phone:786-355-7226
Mailing Address - Fax:
Practice Address - Street 1:13702 SW 48TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-5158
Practice Address - Country:US
Practice Address - Phone:786-355-7226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231581363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily