Provider Demographics
NPI:1750496394
Name:ARANGO FRIAS, CELESTE MARIA (MD)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:MARIA
Last Name:ARANGO FRIAS
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:BAYAMON MEDICAL PLAZA
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-786-0145
Mailing Address - Fax:787-787-2370
Practice Address - Street 1:BAYAMON MEDICAL PLAZA
Practice Address - Street 2:SUITE 501
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-0145
Practice Address - Fax:787-787-2370
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG02872Medicare UPIN
PR84206Medicare ID - Type Unspecified