Provider Demographics
NPI:1205524964
Name:ARCE VEIGA, MARIO DAVID
Entity type:Individual
Prefix:
First Name:MARIO
Middle Name:DAVID
Last Name:ARCE VEIGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20114 SW 123RD DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-5200
Mailing Address - Country:US
Mailing Address - Phone:786-307-1932
Mailing Address - Fax:
Practice Address - Street 1:20114 SW 123RD DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-5200
Practice Address - Country:US
Practice Address - Phone:786-307-1932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician