Provider Demographics
NPI:1598967739
Name:CHAVARRI-ARZAMENDI, MARIA DE BEGONA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA DE
Middle Name:BEGONA
Last Name:CHAVARRI-ARZAMENDI
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 1:917 AVE TITO CASTRO, BARRIO MACHUELO
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4717
Mailing Address - Country:US
Mailing Address - Phone:787-840-7510
Mailing Address - Fax:787-840-7511
Practice Address - Street 1:917 AVE TITO CASTRO, BARRIO MACHUELO
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4717
Practice Address - Country:US
Practice Address - Phone:787-840-7510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8422251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDM130302OtherNARCOTICS LIC OF PUERTO R
PRBC6493174Medicare UPIN