Provider Demographics
NPI:1417058058
Name:LOSADA, ARQUIMEDES G (MD)
Entity Type:Individual
Prefix:
First Name:ARQUIMEDES
Middle Name:G
Last Name:LOSADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8441 DUNDEE TERRACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-200-1875
Mailing Address - Fax:
Practice Address - Street 1:1435 W 49TH PL STE 206
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3147
Practice Address - Country:US
Practice Address - Phone:305-273-4553
Practice Address - Fax:305-675-0662
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82253207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00164677OtherRAILROAD MEDICARE
FL263091500Medicaid
FL51296OtherBCBS
H43036Medicare UPIN
FL263091500Medicaid