Organization Active NPI

Arc Dermatology PLLC

  • Clinic/Center
  • Sebring, FL
National Provider Identifier
1164193066
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARC DERMATOLOGY PLLC
Practice address
219 US Highway 27 N
Sebring, FL 33870-2132
Phone
(863) 835-2602
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Dr. Abimael Rivera-Cruz, MDNPI 1588839765
Title
Sole Manager
Phone
(863) 835-2602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

219 US Highway 27 N
Sebring, FL 33870-2132

Mailing address

4013 Lake Haven Blvd
Sebring, FL 33875-5258
Phone (863) 314-6809

National Provider Directory

National Provider Directory

Locations

219 US 27 N
Sebring, FL 33870
Phone (863) 382-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1164193066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 LAKE HAVEN BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338755258",
            "telephone_number": "863-314-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702132",
            "telephone_number": "863-835-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA-CRUZ",
        "authorized_official_first_name": "ABIMAEL",
        "authorized_official_title_or_position": "SOLE MANAGER",
        "authorized_official_telephone_number": "863-835-2602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.