# FLEUR DE LIS FAMILY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467781476
- **Authorized official:** DR. LUIS ROBERTO ARENCIBIA M.D. (OWNER)
- **Authorized official phone:** (786) 546-1021

## Contact information

- **Practice address:** 301 HELIOS AVE, METAIRIE, LA 70005-3756
- **Practice address phone:** (786) 546-1021
- **Practice address fax:** (504) 831-3778
- **Mailing address:** 301 HELIOS AVE, METAIRIE, LA 70005-3756
- **Mailing address phone:** (786) 546-1021
- **Mailing address fax:** (504) 831-3778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.202162 | LA | Yes |

## Other

- **Enumeration date:** 12/22/2009
- **Last updated:** 12/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | APPLIED FOR | PENDING | LA |