Provider Demographics
NPI:1386846905
Name:VIERA ARANGO A PARTNERSHIP OF PAS
Entity Type:Organization
Organization Name:VIERA ARANGO A PARTNERSHIP OF PAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABELARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-854-5478
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-854-5478
Mailing Address - Fax:305-854-8420
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:# 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-854-5478
Practice Address - Fax:305-854-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME23933208600000X
FLME24937208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL92092ZMedicaid
FL0549819-00Medicaid
FL053648200Medicaid
FL92092ZMedicaid
FL0549819-00Medicaid
D59867Medicare UPIN