Provider Demographics
NPI:1235307190
Name:BOLORIN-AQUINO, ARLENE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:BOLORIN-AQUINO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO DE LA CEIBA CALLE ARECA
Mailing Address - Street 2:# 201
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-7415
Mailing Address - Country:US
Mailing Address - Phone:787-413-1687
Mailing Address - Fax:
Practice Address - Street 1:PASEO DE LA CEIBA CALLE ARECA
Practice Address - Street 2:# 201
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-7415
Practice Address - Country:US
Practice Address - Phone:787-413-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR813225X00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist