Provider Demographics
NPI:1669844924
Name:JULIO L ARRONTE M D P A
Entity Type:Organization
Organization Name:JULIO L ARRONTE M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARRONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-444-1041
Mailing Address - Street 1:3940 W FLAGLER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1613
Mailing Address - Country:US
Mailing Address - Phone:305-444-1041
Mailing Address - Fax:305-444-1021
Practice Address - Street 1:3940 W FLAGLER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1613
Practice Address - Country:US
Practice Address - Phone:305-444-1041
Practice Address - Fax:305-444-1021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0039973207VG0400X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58722OtherHEALTHSUN HEALTH PLAN