Provider Demographics
NPI:1508153115
Name:ARCINIEGA, JUAN CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:CARLOS
Last Name:ARCINIEGA
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:PO BOX 4830
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-4830
Mailing Address - Country:US
Mailing Address - Phone:956-631-8875
Mailing Address - Fax:956-682-6280
Practice Address - Street 1:1309 E RIDGE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1517
Practice Address - Country:US
Practice Address - Phone:956-631-8875
Practice Address - Fax:956-682-6280
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-03
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2238207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology