Provider Demographics
NPI:1326009879
Name:ARIAS, WALESKA ENID (MD)
Entity Type:Individual
Prefix:DR
First Name:WALESKA
Middle Name:ENID
Last Name:ARIAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:73C STREET BLOCK 115A24
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-4114
Mailing Address - Country:US
Mailing Address - Phone:787-955-4993
Mailing Address - Fax:787-955-4993
Practice Address - Street 1:STREET 73C
Practice Address - Street 2:115 A 24 VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4114
Practice Address - Country:US
Practice Address - Phone:787-752-8756
Practice Address - Fax:787-752-8756
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2015-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12908174400000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12908OtherM.D. LICENSE