Basic Information
| Provider Information | |||||||||
| NPI: | 1003971474 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARENCIBIA | ||||||||
| FirstName: | ENRIQUE | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 608 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HOBOKEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070304908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014840134 | ||||||||
| FaxNumber: | 2014847123 | ||||||||
| Practice Location | |||||||||
| Address1: | 608 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HOBOKEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070304908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014840134 | ||||||||
| FaxNumber: | 2014847123 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 40QA00681400 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.