Provider Demographics
NPI:1053426783
Name:ARANEO, MIGUEL (MD)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:ARANEO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 LANTANA RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1304
Mailing Address - Country:US
Mailing Address - Phone:561-965-1864
Mailing Address - Fax:561-967-5005
Practice Address - Street 1:4685 S CONGRESS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4761
Practice Address - Country:US
Practice Address - Phone:561-965-1864
Practice Address - Fax:561-967-5005
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM20020193207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278750400Medicaid
NM25526332Medicaid
FL278750400Medicaid
FLAC359ZMedicare PIN
342308602Medicare PIN