Provider Demographics
NPI:1598734279
Name:DE ARRIGOITIA, ALBERTO L (DC)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:L
Last Name:DE ARRIGOITIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 BLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5415
Mailing Address - Country:US
Mailing Address - Phone:407-566-9814
Mailing Address - Fax:407-566-9812
Practice Address - Street 1:4435 13TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6724
Practice Address - Country:US
Practice Address - Phone:407-957-9995
Practice Address - Fax:407-957-9998
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U74066Medicare UPIN
55812XMedicare ID - Type Unspecified