Provider Demographics
NPI:1265476451
Name:MARCHENA ARRAUT, JAIME (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:MARCHENA ARRAUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:CALLE LA MILAGROSA #D1
Mailing Address - Street 2:URB. GARCIA PONCE
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-863-7921
Mailing Address - Fax:787-860-2091
Practice Address - Street 1:410 AVE GENERAL VALERO
Practice Address - Street 2:TORRE MEDICA DEL ESTE - SUITE 405
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-3949
Practice Address - Country:US
Practice Address - Phone:787-860-0768
Practice Address - Fax:787-801-0587
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR104602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0082583Medicare ID - Type Unspecified
PRF18928Medicare UPIN