Provider Demographics
NPI:1134301690
Name:ROBERTO ARCE MD PA
Entity Type:Organization
Organization Name:ROBERTO ARCE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-274-0170
Mailing Address - Street 1:11020 N KENDALL DR
Mailing Address - Street 2:SUITE 102-C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1246
Mailing Address - Country:US
Mailing Address - Phone:305-274-0170
Mailing Address - Fax:
Practice Address - Street 1:11020 N KENDALL DR
Practice Address - Street 2:SUITE 102-C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1246
Practice Address - Country:US
Practice Address - Phone:305-274-0170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6707Medicare PIN