Provider Demographics
NPI:1033329677
Name:ARANGUA, LUIS TORRES (MD)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:TORRES
Last Name:ARANGUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 JOHN F KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1159
Mailing Address - Country:US
Mailing Address - Phone:561-439-1500
Mailing Address - Fax:561-439-9902
Practice Address - Street 1:1447 MEDICAL PARK BLVD STE 405
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3183
Practice Address - Country:US
Practice Address - Phone:561-439-1500
Practice Address - Fax:561-439-9902
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010935042084N0400X, 2085N0700X, 2085R0204X
FLME1444412085N0700X, 2085R0204X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1033329677Medicaid
MI1417961137OtherBCBSM - BMH
IA71697OtherWELLMARK BCBS
MI1417961137OtherBCBSM - BMH
MI1033329677Medicaid
IA71697OtherWELLMARK BCBS