1902978836 NPI number — DR. CELSO J AROCHO IRIZARRY MD

Table of content: DR. CELSO J AROCHO IRIZARRY MD (NPI 1902978836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902978836 NPI number — DR. CELSO J AROCHO IRIZARRY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AROCHO IRIZARRY
Provider First Name:
CELSO
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1902978836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. VICTOR BRAEGGER
Provider Second Line Business Mailing Address:
AVE. VICTOR BRAEGGER #21
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00966-1623
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-774-8183
Provider Business Mailing Address Fax Number:
787-653-1776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HIMA SAN PABLO LUIS MUNOZ MARIN AVE
Provider Second Line Business Practice Location Address:
MARIOLGA
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-653-3434
Provider Business Practice Location Address Fax Number:
787-653-1776
Provider Enumeration Date:
11/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  10828 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com