Provider Demographics
NPI:1619082153
Name:ARANGO FRIAS, MARIA LUISA
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:LUISA
Last Name:ARANGO FRIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL OPHTALMIC PLAZA
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-786-2274
Mailing Address - Fax:787-785-6273
Practice Address - Street 1:MEDICAL OPHTALMIC PLAZA
Practice Address - Street 2:SUITE 105 CARRETERA 2
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-2274
Practice Address - Fax:787-785-6273
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11005207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF72372Medicare UPIN
PR84207Medicare ID - Type Unspecified