Provider Demographics
NPI:1417516600
Name:ARTHUR J. IGLESIAS, M.D. P.A.
Entity Type:Organization
Organization Name:ARTHUR J. IGLESIAS, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:IGLESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-564-3634
Mailing Address - Street 1:10734 SW 97TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2766
Mailing Address - Country:US
Mailing Address - Phone:786-564-3634
Mailing Address - Fax:305-694-3671
Practice Address - Street 1:1100 N.W. 95TH STREET
Practice Address - Street 2:CANCER CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150
Practice Address - Country:US
Practice Address - Phone:305-835-6173
Practice Address - Fax:305-694-3671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty