Provider Demographics
NPI:1740604024
Name:LAURA M. ARTILES, PH.D., P.A.
Entity Type:Organization
Organization Name:LAURA M. ARTILES, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARGARITA
Authorized Official - Last Name:ARTILES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-270-3737
Mailing Address - Street 1:7100 SW 99TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4668
Mailing Address - Country:US
Mailing Address - Phone:305-270-3737
Mailing Address - Fax:305-270-3736
Practice Address - Street 1:7100 SW 99TH AVE
Practice Address - Street 2:SUITE # 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4667
Practice Address - Country:US
Practice Address - Phone:305-270-3737
Practice Address - Fax:305-270-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005426261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAA053Medicare PIN