Provider Demographics
NPI:1750339230
Name:ARIAS, ERICH A (MD)
Entity type:Individual
Prefix:
First Name:ERICH
Middle Name:A
Last Name:ARIAS
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 1:1300 FLORIDA AVE S
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2482
Mailing Address - Country:US
Mailing Address - Phone:321-549-2273
Mailing Address - Fax:321-549-2066
Practice Address - Street 1:1300 FLORIDA AVE S
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2482
Practice Address - Country:US
Practice Address - Phone:321-549-2273
Practice Address - Fax:321-549-2066
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 426791207Q00000X
MS18796207Q00000X
FLME101986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002887100Medicaid
MS7164742OtherAETNA
MS5097721OtherCIGNA
MS6029049OtherHEALTHSPRING
MSP00816371OtherRAILROAD MEDICARE
MS01079820Medicaid
LA1020761Medicaid
MS302I938360Medicare PIN
MS6029049OtherHEALTHSPRING
MS7164742OtherAETNA
MSI27783Medicare UPIN