Provider Demographics
NPI:1841077476
Name:ALCANTARA, ARGELIS III
Entity type:Individual
Prefix:
First Name:ARGELIS
Middle Name:
Last Name:ALCANTARA
Suffix:III
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 1:14020 SW 56TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1141
Mailing Address - Country:US
Mailing Address - Phone:786-239-8558
Mailing Address - Fax:
Practice Address - Street 1:8435 SW 156TH CT APT 1030
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1285
Practice Address - Country:US
Practice Address - Phone:305-399-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL247200000X, 247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty