Individual provider Active NPI

Aldo Menendez Arcia, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1063011013
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113834 Issued in FL
Practice address
6109 Pembroke Rd
Hollywood, FL 33023-2213
Phone
(954) 239-7054
Fax
(786) 464-5125
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113834 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6109 Pembroke Rd
Hollywood, FL 33023-2213

Mailing address

6109 Pembroke Rd
Hollywood, FL 33023-2213
Phone (954) 239-7054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428002242 FL Practitioner - Physician Assistant 6103291034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians
Benessere Medical Institute LLCGroup PAC ID 3173988094, 3 clinicians

Practice addresses (Care Compare)

7223 Coral Way
Miami, FL 33155-1401
Phone (305) 264-0470

790 NW 107 Ave
Suite 301
Miami, FL 33172-3160
Phone (786) 518-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113834FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ama Health LLC CurrentSince Aug 28, 2022 Accepting new patients
Benessere Specialty Medical Group LLCP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aldo.menendezarcia@496.emedpractice.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1063011013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232213",
            "telephone_number": "954-239-7054",
            "fax_number": "786-464-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232213",
            "telephone_number": "954-239-7054",
            "fax_number": "786-464-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ ARCIA",
        "first_name": "ALDO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113834",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.