Provider Demographics
NPI:1982857520
Name:ARAGUAS, ROSARIO (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROSARIO
Middle Name:
Last Name:ARAGUAS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 COMMERCE TRL
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-4003
Mailing Address - Country:US
Mailing Address - Phone:760-550-6259
Mailing Address - Fax:760-550-6189
Practice Address - Street 1:2410 COMMERCE TRL
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-4003
Practice Address - Country:US
Practice Address - Phone:760-550-6259
Practice Address - Fax:760-550-6189
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4792213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACH134AMedicare UPIN
6241820001Medicare NSC