Active NPI
Camilo Arboleda, LMT, CCPA
- Other Technician
- Orlando, FL
National Provider Identifier
1174735971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- CI 382
- Practice address
- 8204 Crystal Clear LN
Suite 1500
Orlando, FL 32809-7758 - Phone
- (407) 240-8884
- Fax
- (407) 240-8883
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA33687 | FL | |
| Other Technician | 247200000X | CI 382 | FL | Primary |
Addresses
Primary practice location
8204 Crystal Clear LN
Suite 1500
Orlando, FL 32809-7758
Mailing address
8204 Crystal Clear LN
Suite 1500
Orlando, FL 32809-7758
Phone (407) 240-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA33687 | FL | MD | Specialist |
| CI 382 | FL | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestro Chiropractic Center | Past | Accepting new patients | |
| Physiocare Medical & Wellness Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Orlando, FL
- NPI 1245459320
-
- Health Maintenance Organization
- Orlando, FL
- NPI 1467684878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1174735971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 CRYSTAL CLEAR LN",
"address_2": "SUITE 1500",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097758",
"telephone_number": "407-240-8884",
"fax_number": "407-240-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 CRYSTAL CLEAR LN",
"address_2": "SUITE 1500",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097758",
"telephone_number": "407-240-8884",
"fax_number": "407-240-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBOLEDA",
"first_name": "CAMILO",
"credential": "LMT, CCPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA33687",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "CI 382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.