Provider Demographics
NPI:1497848592
Name:ARSUAGA, JOSE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:L
Last Name:ARSUAGA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:EDF 1503 5TO PISO
Mailing Address - Street 2:PROFESOR AUGUSTO RODIGUEZ
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-726-3030
Mailing Address - Fax:787-726-3030
Practice Address - Street 1:EDF 1503 5TO PISO
Practice Address - Street 2:PROFESOR AUGUSTO RODIGUEZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-726-3030
Practice Address - Fax:787-726-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8872207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD34222Medicare UPIN