Provider Demographics
NPI:1578943577
Name:CLINICA ARENA DEL ATLANTICO
Entity Type:Organization
Organization Name:CLINICA ARENA DEL ATLANTICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-931-1717
Mailing Address - Street 1:PO BOX 25522
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33102-5522
Mailing Address - Country:US
Mailing Address - Phone:407-931-1717
Mailing Address - Fax:407-429-3834
Practice Address - Street 1:C/HERNAS MIRAL NO. 15 EL CACAO
Practice Address - Street 2:
Practice Address - City:SANTO DOMINGO
Practice Address - State:LAS TERRENAS
Practice Address - Zip Code:000000
Practice Address - Country:DO
Practice Address - Phone:407-931-1717
Practice Address - Fax:407-429-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center