Basic Information
| Provider Information | |||||||||
| NPI: | 1932337755 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARIZMENDI | ||||||||
| FirstName: | MARIANGELIX | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | VISTA MAR | ||||||||
| Address2: | CALLE 1 B-6 | ||||||||
| City: | GUAYAMA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00784 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7875571239 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | CALLE GUADALUPE FINAL # 184 | ||||||||
| Address2: | |||||||||
| City: | PONCE | ||||||||
| State: | PUERTO RICO | ||||||||
| PostalCode: | 00733 | ||||||||
| CountryCode: | UM | ||||||||
| TelephoneNumber: | 7877094130 | ||||||||
| FaxNumber: | 7877094134 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2009 | ||||||||
| LastUpdateDate: | 09/28/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 1103 | PR | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.