Provider Demographics
NPI:1477506046
Name:CELAYA, ARYS DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARYS
Middle Name:DANIEL
Last Name:CELAYA
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 1:3701 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-1711
Mailing Address - Country:US
Mailing Address - Phone:941-746-5840
Mailing Address - Fax:941-745-3591
Practice Address - Street 1:3701 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-1711
Practice Address - Country:US
Practice Address - Phone:941-746-5840
Practice Address - Fax:941-745-3591
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056984207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372371200Medicaid
FL4366289OtherAETNA
FL201083OtherAMERIGROUP
FLF66066Medicare UPIN
FL18599Medicare ID - Type Unspecified