Provider Demographics
NPI:1972511350
Name:LATIMER ARSUAGA, ROBERTO ENRIQUE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:ENRIQUE
Last Name:LATIMER ARSUAGA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:COMERIO AVE.DD16
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-0000
Mailing Address - Country:US
Mailing Address - Phone:787-798-9491
Mailing Address - Fax:787-780-6559
Practice Address - Street 1:25ST.DD16
Practice Address - Street 2:RIVERVIEW
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-798-9491
Practice Address - Fax:787-780-6559
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR237152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist