Provider Demographics
NPI:1497546816
Name:LUIS CARBAJAL ARRUE DPM PA
Entity type:Organization
Organization Name:LUIS CARBAJAL ARRUE DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBAJAL ARRUE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:786-506-6258
Mailing Address - Street 1:1793 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1482
Mailing Address - Country:US
Mailing Address - Phone:786-506-6258
Mailing Address - Fax:
Practice Address - Street 1:1793 SW 18TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1482
Practice Address - Country:US
Practice Address - Phone:786-506-6258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty