Provider Demographics
NPI:1588605885
Name:ARANGO, CARMEN PEREZ (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:PEREZ
Last Name:ARANGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 GATEWAY WEST
Mailing Address - Street 2:STE 120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3315
Mailing Address - Country:US
Mailing Address - Phone:915-779-1716
Mailing Address - Fax:915-779-1754
Practice Address - Street 1:643A S MESA HILLS DRIVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5540
Practice Address - Country:US
Practice Address - Phone:915-856-7533
Practice Address - Fax:915-217-2689
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ04262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F49874Medicare UPIN
TXP00163394Medicare PIN
TX8C0688Medicare ID - Type Unspecified