Provider Demographics
NPI:1467413427
Name:ARIAS, CLAUDINO (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDINO
Middle Name:
Last Name: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:URB CERRO REAL M2
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-263-2730
Mailing Address - Fax:787-263-2750
Practice Address - Street 1:CENTRO FISIATNZO DEL PLATA CALLE LUIS BEVIERAS
Practice Address - Street 2:#6
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-2730
Practice Address - Fax:787-263-2750
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR225171100000X
PR6661208100000X
PR3572081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No171100000XOther Service ProvidersAcupuncturist
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G40275Medicare UPIN
Z8569Medicare ID - Type Unspecified