Provider Demographics
NPI:1053679092
Name:FREIRE-PEREZ, ARNALDO LUIS
Entity Type:Individual
Prefix:
First Name:ARNALDO LUIS
Middle Name:
Last Name:FREIRE-PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 CALLE LAS VIOLETAS
Mailing Address - Street 2:APT 202
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-3557
Mailing Address - Country:US
Mailing Address - Phone:787-678-8291
Mailing Address - Fax:
Practice Address - Street 1:TORRE AUXILIO MUTUO SUITE 816
Practice Address - Street 2:735 AVE PONCE DE LEON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-0001
Practice Address - Country:US
Practice Address - Phone:787-763-1025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18669207R00000X, 207RG0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program