Provider Demographics
NPI:1184753386
Name:ARANA, JORGE E (DDS)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:E
Last Name:ARANA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CALLE FALCON
Mailing Address - Street 2:MONTEHIEDRA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9535
Mailing Address - Country:US
Mailing Address - Phone:787-731-5620
Mailing Address - Fax:787-747-6664
Practice Address - Street 1:CARR. 172 KM. 6.9
Practice Address - Street 2:LOCAL 3
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-747-6664
Practice Address - Fax:787-747-6664
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice