Provider Demographics
NPI:1750518908
Name:ARCE MUNOZ, IVAN A (MD)
Entity type:Individual
Prefix:DR
First Name:IVAN
Middle Name:A
Last Name:ARCE MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:843-708-2993
Mailing Address - Fax:
Practice Address - Street 1:2875 S NELLIS BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-2087
Practice Address - Country:US
Practice Address - Phone:702-843-2420
Practice Address - Fax:833-749-0351
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV14522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVGM845YMedicare PIN
NVGM845ZMedicare PIN
NVGM845ZMedicare PIN