Provider Demographics
NPI:1750498937
Name:ARBOLEDA, BOLIVAR (MD)
Entity Type:Individual
Prefix:DR
First Name:BOLIVAR
Middle Name:
Last Name:ARBOLEDA
Suffix:
Gender:M
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:PO BOX 9479
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9479
Mailing Address - Country:US
Mailing Address - Phone:787-744-0880
Mailing Address - Fax:
Practice Address - Street 1:MUNOZ MARIN AVE
Practice Address - Street 2:HIMA-SAN PABLO, SUITE 105,
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-744-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9105208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery