NPIMap

Organization Active NPI

Roberto Arevalo-Araujo Mdpa

  • Radiation Oncology Physician
  • Holiday, FL
National Provider Identifier
1104019207
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ROBERTO AREVALO-ARAUJO MDPA
Practice address
3000 US Highway 19
Holiday, FL 34691-2635
Phone
(727) 942-7070
Fax
(727) 934-9457
NPI assigned
Aug 22, 2007
Organization subpart
Yes
Parent organization
ROBERTO AREVALO-ARAUJO MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Roberto Arevalo Araujo, MD
Title
President
Phone
(727) 849-6690

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

3000 US Highway 19
Holiday, FL 34691-2635

Mailing address

3000 US Highway 19
Holiday, FL 34691-2635
Phone (727) 942-7070

Other identifiers 1

IdentifierTypeStateIssuer
062481100MedicaidFL

Other names 1

  • Cancer Center of Pasco Pinellas Doing business as

National Provider Directory

National Provider Directory
Part of
Roberto Arevaloaraujo M

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1104019207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912635",
            "telephone_number": "727-942-7070",
            "fax_number": "727-934-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912635",
            "telephone_number": "727-942-7070",
            "fax_number": "727-934-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO AREVALO-ARAUJO MDPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERTO AREVALO-ARAUJO MD PA",
        "enumeration_date": "2007-08-22",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "AREVALO ARAUJO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-849-6690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062481100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Center of Pasco Pinellas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.