Provider Demographics
NPI:1730616079
Name:ARIAS, ALBERTO RICARDO (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:RICARDO
Last Name:ARIAS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 947407
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-7407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:2345 BOBCAT VILLAGE CENTER RD UNIT 202
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-8999
Practice Address - Country:US
Practice Address - Phone:941-257-2930
Practice Address - Fax:941-257-2923
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME162311207Q00000X
VA0101269298207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine