Provider Demographics
NPI:1205854445
Name:CAMARGO ARIAS, EDINSON (MD)
Entity Type:Individual
Prefix:DR
First Name:EDINSON
Middle Name:
Last Name:CAMARGO ARIAS
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:PASEO LAS CUMBRES
Mailing Address - Street 2:349 AVE FELISA RINCON DE GAUTIER
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6676
Mailing Address - Country:US
Mailing Address - Phone:787-390-0281
Mailing Address - Fax:800-521-3549
Practice Address - Street 1:408 ESTANCIAS DEL REY
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-390-0281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13995207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023301Medicare PIN