1831423243 NPI number — DR. ARTURO A AZITO

Table of content: DR. ARTURO A AZITO (NPI 1831423243)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831423243 NPI number — DR. ARTURO A AZITO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AZITO
Provider First Name:
ARTURO
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AZITO
Provider Other First Name:
ARTURO
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1831423243
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
411 ALEDO AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORAL GABLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33134-7143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-213-1377
Provider Business Mailing Address Fax Number:
305-675-2668

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 ALEDO AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORAL GABLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33134-7143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-213-1377
Provider Business Practice Location Address Fax Number:
305-675-2668
Provider Enumeration Date:
10/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH 7408 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CH7408 . This is a "CHIROPRACTIC PROFESSIONAL LICENSE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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