Arlis Fuentes Perez

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

23-0-129143 Issued in FL

Practice address

15985 Preserve Marketplace #1018
Odessa, FL 33556

Phone

(813) 373-2606

NPI assigned

Dec 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1730958844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15985 PRESERVE MARKETPLACE #1018",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "813-373-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15985 PRESERVE MARKETPLACE #1018",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "813-373-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES PEREZ",
        "first_name": "ARLIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "FL",
            "license": "23-0-129143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Odessa, FL
• Providers in Odessa, FL by specialty
• Transportation Network Company in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.