Provider Demographics
NPI:1154462182
Name:ARCILA RADIOLOGY CONSULTING PA
Entity Type:Organization
Organization Name:ARCILA RADIOLOGY CONSULTING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:ARTEMIO
Authorized Official - Last Name:ARCILA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-303-1814
Mailing Address - Street 1:100 EDGEWATER DR
Mailing Address - Street 2:209
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6950
Mailing Address - Country:US
Mailing Address - Phone:786-303-1814
Mailing Address - Fax:786-513-0143
Practice Address - Street 1:100 EDGEWATER DR
Practice Address - Street 2:209
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-6950
Practice Address - Country:US
Practice Address - Phone:786-303-1814
Practice Address - Fax:786-513-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Single Specialty