NPIMap

Organization Active NPI

Arq. Electro Diagnostic, Inc.

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1073553319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCCR745 Issued in FL
Legal business name
ARQ. ELECTRO DIAGNOSTIC, INC.
Practice address
8180 NW 36TH St
Suite 239
Doral, FL 33166-6645
Phone
(305) 594-3038
Fax
(305) 594-8575
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aracelis C Quevedo
Title
President/Owner
Phone
(305) 594-3038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCCR745 FL Primary

Addresses

Primary practice location

8180 NW 36TH St
Suite 239
Doral, FL 33166-6645

Mailing address

8180 NW 36TH St
Suite 239
Doral, FL 33166-6645
Phone (305) 594-3038

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073553319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 239",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-594-3038",
            "fax_number": "305-594-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 239",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-594-3038",
            "fax_number": "305-594-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARQ. ELECTRO DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEVEDO",
        "authorized_official_first_name": "ARACELIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-594-3038"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCCR745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.