De Arredondo Diaz, Juan Carlos

De Arredondo Diaz, Juan Carlos is an sole proprietor health care provider with primary practice located at 3663 S Miami Ave , Miami FL 33133-4253. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. De Arredondo Diaz, Juan Carlos can be contacted via phone (305) 856-3338.

Contact Information

Primary practice address
3663 S Miami Ave Miami FL 33133-4253
Phone: (305) 856-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 13-573 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11006151 Florida

Profile Details

NPI number 1982080099
LBN Legal business name De Arredondo Diaz, Juan Carlos
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2015
Last updated Feb 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982080099 NPPES
Florida Other 012833 FLORIDA BLUE

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