Provider Demographics
NPI:1134290802
Name:ARGUEDAS, SERGIO (TECHNOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:SERGIO
Middle Name:
Last Name:ARGUEDAS
Suffix:
Gender:M
Credentials:TECHNOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11460 INTERCHANGE CIRCLE NORTH
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6005
Mailing Address - Country:US
Mailing Address - Phone:954-430-4424
Mailing Address - Fax:934-430-4412
Practice Address - Street 1:11460 INTERCHANGE CIRCLE NORTH
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-6005
Practice Address - Country:US
Practice Address - Phone:954-430-4424
Practice Address - Fax:934-430-4412
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSU31865246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist