Provider Demographics
NPI:1568469427
Name:MILLAN, ARLENE J (OT)
Entity Type:Individual
Prefix:PROF
First Name:ARLENE
Middle Name:J
Last Name:MILLAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 8064
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-9713
Mailing Address - Country:US
Mailing Address - Phone:787-892-4357
Mailing Address - Fax:787-892-4357
Practice Address - Street 1:153 CALLE LUNA
Practice Address - Street 2:EDF SAN JOSE
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4332
Practice Address - Country:US
Practice Address - Phone:787-892-4357
Practice Address - Fax:787-892-4357
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR503225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3304132OtherACAA
PR870042OtherMMM
PR50044OtherPREFERED MEDICARE CHOICE
PR6830078OtherHUMANA
PR50044OtherPREFERED MEDICARE CHOICE
PR0022173Medicare ID - Type UnspecifiedMEDICARE