Provider Demographics
NPI:1225096100
Name:ARNEL MEDICAL OFFICE INC
Entity Type:Organization
Organization Name:ARNEL MEDICAL OFFICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-871-6151
Mailing Address - Street 1:6501 NW 36TH ST
Mailing Address - Street 2:SUITE 456
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6959
Mailing Address - Country:US
Mailing Address - Phone:305-871-6151
Mailing Address - Fax:305-871-6153
Practice Address - Street 1:6501 NW 36TH ST
Practice Address - Street 2:SUITE 456
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6959
Practice Address - Country:US
Practice Address - Phone:305-871-6151
Practice Address - Fax:305-871-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3741261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7803Medicare PIN