Provider Demographics
NPI:1710565171
Name:ARVELO, IRIS JANET (BA)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:JANET
Last Name:ARVELO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 HIDDEN LAKE LOOP
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-9173
Mailing Address - Country:US
Mailing Address - Phone:321-805-0883
Mailing Address - Fax:
Practice Address - Street 1:142 HIDDEN LAKE LOOP
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-9173
Practice Address - Country:US
Practice Address - Phone:321-805-0883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker