Provider Demographics
NPI:1437196854
Name:ARGUELLES, DONATO J I (MD)
Entity Type:Individual
Prefix:DR
First Name:DONATO
Middle Name:J
Last Name:ARGUELLES
Suffix:I
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 1:2733 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6004
Mailing Address - Country:US
Mailing Address - Phone:305-444-8007
Mailing Address - Fax:305-444-1548
Practice Address - Street 1:2733 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6004
Practice Address - Country:US
Practice Address - Phone:305-444-8007
Practice Address - Fax:305-444-1548
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41014207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03761Medicare UPIN