Provider Demographics
NPI:1083987366
Name:PIETRI ANDUJAR, ARLENE
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:PIETRI ANDUJAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB JESUS MARIA LAGO
Mailing Address - Street 2:M 24
Mailing Address - City:UTUADO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00641
Mailing Address - Country:UM
Mailing Address - Phone:787-247-3560
Mailing Address - Fax:
Practice Address - Street 1:URB JESUS MARIA LAGO
Practice Address - Street 2:M 24
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2409
Practice Address - Country:US
Practice Address - Phone:787-247-3560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist