Provider Demographics
NPI:1356311229
Name:BALAGUER, JOAQUIN F (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOAQUIN
Middle Name:F
Last Name:BALAGUER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIF DR ARTURO CADILLA OFIC 409
Mailing Address - Street 2:100 PASEO SAN PABLO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-787-5690
Mailing Address - Fax:787-798-2325
Practice Address - Street 1:EDIF DR ARTURO CADILLA OFIC 409
Practice Address - Street 2:100 PASEO SAN PABLO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-787-5690
Practice Address - Fax:787-798-2325
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR051213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR48064Medicare ID - Type Unspecified
PR0949790001Medicare NSC
U54424Medicare UPIN