Provider Demographics
NPI:1952694382
Name:ARISTY, JOSE DAVID (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:DAVID
Last Name:ARISTY
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 1:8900 NORTH KENDALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:786-596-6743
Mailing Address - Fax:786-533-9711
Practice Address - Street 1:295 FORT WASHINGTON AVE APT C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1210
Practice Address - Country:US
Practice Address - Phone:917-261-5300
Practice Address - Fax:929-925-5300
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL125298207R00000X, 208M00000X
282N00000X
NY271551207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04884933Medicaid