1831399641 NPI number — HORACIO J ARGELES MD PA

Table of content: (NPI 1831399641)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831399641 NPI number — HORACIO J ARGELES MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORACIO J ARGELES MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831399641
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 4TH AVE E
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
BRADENTON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34208-1043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-747-8818
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4020 STATE ROAD 674
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
SUN CITY CENTER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33573-5285
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-634-9268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ARGELES
Authorized Official First Name:
HORACIO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
941-747-8818

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3002062 . This is a "BLUE CROSS BLUE SHIELD TN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: U2961992 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 79563 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0072202 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 443656 . This is a "BLUE CROSS BLUE SHIELD PA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: FL00014394 . This is a "TRICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 008817093 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 065770100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 520707 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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