Provider Demographics
NPI:1760551188
Name:AROCHA, JIM MANUEL (PT)
Entity Type:Individual
Prefix:
First Name:JIM
Middle Name:MANUEL
Last Name:AROCHA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 NW 128TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2505
Mailing Address - Country:US
Mailing Address - Phone:305-223-3417
Mailing Address - Fax:305-223-3417
Practice Address - Street 1:1185 NW 128TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2505
Practice Address - Country:US
Practice Address - Phone:305-223-3417
Practice Address - Fax:305-223-3417
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist