Provider Demographics
NPI:1730100025
Name:ARGUELLO, ALEYDA (MD)
Entity Type:Individual
Prefix:
First Name:ALEYDA
Middle Name:
Last Name:ARGUELLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5607 NW 27TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-2826
Mailing Address - Country:US
Mailing Address - Phone:305-637-6400
Mailing Address - Fax:305-835-1598
Practice Address - Street 1:901 E 10TH AVE
Practice Address - Street 2:BAY 39
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3762
Practice Address - Country:US
Practice Address - Phone:305-887-0004
Practice Address - Fax:305-805-1788
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042536208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069377400Medicaid
FL32337OtherBCBS
FL172674OtherWELLCARE
FL32337Medicare PIN
FL172674OtherWELLCARE