AGUSTIN JAVIER ARRIETA (NPI# 1528052388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528052388 |
| Entity Type | Individual |
| Full Name | AGUSTIN JAVIER ARRIETA |
| Credential | M.D. |
| Practice Address |
15955 Sw 96th St Suite 303 Miami FL 33196-1271 |
| Practice Telephone | 3053806773 |
| Practice Fax Number | 7865331680 |
| Mailing Telephone | 3053806773 |
| Mailing Fax Number | 7865331680 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME92547 | FL | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
ME92547 | FL | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
ME92547 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 276031200 | 05 |
| Street Address |
15955 SW 96TH ST SUITE 303 |
| City | MIAMI |
| State | FL |
| Zip Code | 33196-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811423858 | Nicole Ross | Family Medicine | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2017-05-11 |
| 1801269402 | Jose Alejandro Pazos-perez | Physician Assistant | 15955 Sw 96th St, Suite 102, Miami, FL 33196-1271 | 2015-11-04 |
| 1497126387 | Francis Wamamera Walwema | Nurse Practitioner | 15955 Sw 96th St, Suite #406a, Miami, FL 33196-1271 | 2015-10-17 |
| 1598135758 | Jacqueline Dominguez | Nurse Practitioner | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2015-09-30 |
| 1902281637 | Denisys Tunez | Nurse Practitioner | 15955 Sw 96th St, Suite 306, Miami, FL 33196-1271 | 2015-07-23 |
| 1730575556 | Gabriel Raul Suarez | Family Medicine | 15955 Sw 96th St, Suite 205, Miami, FL 33196 | 2015-04-08 |
| 1497152730 | Susana Placencia | Specialist/Technologist | 15955 Sw 96th St, Miami, FL 33196-1271 | 2014-12-02 |
| 1376898015 | Grey Dog IIi, Inc | Pharmacy | 15955 Sw 96th St, Suite 105, Miami, FL 33196-1271 | 2012-07-18 |
| 1124388954 | Danielle Pech Carson | Registered Nurse | 15955 Sw 96th St, Suite 102, Miami, FL 33196-1271 | 2012-05-27 |
| 1649508342 | Tatiana Perez Ivan | Family Medicine | 15955 Sw 96th St, Miami, FL 33196-1271 | 2009-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367825 | Lian Linares Izquierdo | Behavior Technician | 11571 Sw 110th Ter, Miami, FL 33196 | 2020-08-18 |
| 1780208827 | Ohama Fuster | Assistant Behavior Analyst | 15560sw 111ter., Miami, FL 33196 | 2020-06-04 |
| 1346870516 | Belkis Leonor Rodriguez | Assistant Behavior Analyst | 9798 Sw 147 Pl, Miami, FL 33196 | 2020-01-16 |
| 1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
| 1457824823 | Kelsie Marie Riveron | Student in an Organized Health Care Education/Training Program | 16461 Sw 99 St, Miami, FL 33196 | 2019-01-08 |
| 1629545330 | Irene Roldan | Nurse Practitioner | 15971 Sw 138 Ter, Miami, FL 33196 | 2018-10-31 |
| 1114414240 | Daniel Gil De Lamadrid | Student in an Organized Health Care Education/Training Program | 15955 Sw 96 Street, Suite 200, Miami, FL 33196 | 2018-04-14 |
| 1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
| 1174027247 | Juntos Behavioral & Mental Benefits Corp. | Behavioral Analyst | 9532 Sw 167th Ave, Miami, FL 33196 | 2018-03-22 |
| 1487165239 | Medhealth Billing Services LLC | Contractor | 14790 N Kendall Dr. #961595, Miami, FL 33196 | 2017-10-19 |
| Find all providers in zip 33196 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1528301330 | Ariel B Grobman | Otolaryngology | 3661 S Miami Ave Ste 409, Miami, FL 33133-4230 | 2013-03-29 |
| 1386809119 | Silavano A. Hernandez-herrera, M.d., P.a. | Otolaryngology | 35 Ponce De Leon Blvd, Miami, FL 33135-1040 | 2008-07-21 |
| 1134386675 | Rafael Antonio Portela | Otolaryngology | 3100 Sw 62 Avw, Suite 124, Miami, FL 33155-3009 | 2008-05-21 |
| 1144406877 | Ajani Nugent | Otolaryngology | 1321 Nw 14th St Fl 2, Miami, FL 33125-1673 | 2008-01-11 |
| 1386854032 | Zoukaa B Sargi | Otolaryngology | 1475 Nw 12th Ave # 4023, Miami, FL 33136-1002 | 2007-05-23 |
| 1184718645 | Eugene Villacian | Otolaryngology | 10130 S.w. 40 Street, Miami, FL 33165 | 2006-10-02 |
| 1497853741 | Rafael E Alfonzo | Otolaryngology | 2010 S Miami Ave, Miami, FL 33129-1517 | 2006-09-20 |
| 1740213958 | Adrien A Eshraghi | Otolaryngology | 1666 Nw 10 Ave, Box (m851), Miami, FL 33101-6960 | 2006-07-09 |
| 1689623100 | University of Miami | Otolaryngology | 1666 Nw 10th Ave, Box 016960 M851, Miami, FL 33136-1015 | 2006-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.