Provider Demographics
NPI:1396747127
Name:ARCE, ROBERTO (MD)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:ARCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11020 N KENDALL DR
Mailing Address - Street 2:SUITE 102-C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1246
Mailing Address - Country:US
Mailing Address - Phone:305-274-0170
Mailing Address - Fax:
Practice Address - Street 1:11020 N KENDALL DR
Practice Address - Street 2:SUITE 102-C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1246
Practice Address - Country:US
Practice Address - Phone:305-274-0170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040624400Medicaid
FL000295958OtherONE SOURCE HMO
FL005400OtherNHP HMO
FL33629OtherVISTA OF S FLORIDA HMO
FL222794OtherAVMED HMO
FL040624400Medicaid
FL222794OtherAVMED HMO