Individual provider Active NPI

Camilo Arboleda, LMT, CCPA

  • Other Technician
  • Orlando, FL
National Provider Identifier
1174735971
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
CI 382 Issued in FL
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

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MA33687FLMDSpecialist
CI 382FLMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.