Arc Dialysis Hialeah LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ARC DIALYSIS HIALEAH LLC

Practice address

3704 W 12TH Ave
Hialeah, FL 33012-4126

Phone

(305) 448-6261

Fax

(305) 448-6268

NPI assigned

Feb 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Federico Alberto Dumenigo

Title

Ceo

Phone

(305) 322-6412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

ARC Dialysis HialeahCCN 682705

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Sep 23, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

12

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose M Cardona-Guzman, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1861709230
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Victor Sergio Lopez de Mendoza, M.D.

  • Nephrology Physician
  • Miami, FL
  • NPI 1073667770

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590192000000",
    "number": "1023573490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 138",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-448-6261",
            "fax_number": "305-448-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-448-6261",
            "fax_number": "305-448-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC DIALYSIS HIALEAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A",
        "authorized_official_last_name": "DUMENIGO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-322-6412"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamahara Aliuska Araujo Rodriguez, RBT
• Bani Antoin Araujo
• Jayla Aniah Araujo
• Diana M Arbelaez, COTA
• Claudia M Arboleda, DDS
• Arc Home Care Plus
• Arc Home Care Plus Inc.
• Arc Therapy
• Arcadia Healthcare Solutions, Inc.
• Esperanza Arce Nunez, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.