Provider Demographics
NPI:1194829333
Name:ARZOLA, DINORAH (PT)
Entity Type:Individual
Prefix:MRS
First Name:DINORAH
Middle Name:
Last Name:ARZOLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. TERRAZAS DE CUPEY ST.#2
Mailing Address - Street 2:G-19
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3236
Mailing Address - Country:US
Mailing Address - Phone:787-397-2460
Mailing Address - Fax:787-748-9008
Practice Address - Street 1:URB. TERRAZAS DE CUPEY ST.#2
Practice Address - Street 2:G-19
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3236
Practice Address - Country:US
Practice Address - Phone:787-397-2460
Practice Address - Fax:787-748-9008
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0057595Medicare ID - Type UnspecifiedPROVIDER