Provider Demographics
NPI:1932782380
Name:ARIAS, ROBERTO ANTONIO (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:ANTONIO
Last Name:ARIAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W OAK ST STE C
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4472
Mailing Address - Country:US
Mailing Address - Phone:407-847-8070
Mailing Address - Fax:407-847-6330
Practice Address - Street 1:103 W OAK ST STE C
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4472
Practice Address - Country:US
Practice Address - Phone:407-847-8070
Practice Address - Fax:407-847-6330
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor