1053515130 NPI number — MIGUEL A. ARENAS, M.D., PC

Table of content: (NPI 1053515130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053515130 NPI number — MIGUEL A. ARENAS, M.D., PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIGUEL A. ARENAS, M.D., PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053515130
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7445 E TANQUE VERDE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85715-3477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-722-0744
Provider Business Mailing Address Fax Number:
520-722-0745

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7445 E TANQUE VERDE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85715-3477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-722-0744
Provider Business Practice Location Address Fax Number:
520-722-0745
Provider Enumeration Date:
06/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARENAS
Authorized Official First Name:
MIGUEL
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
520-722-0744

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  33383 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Z115811 . This is a "PTAN" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".