Provider Demographics
NPI:1295944171
Name:NJ ARBONA PODIATRY, PSC
Entity type:Organization
Organization Name:NJ ARBONA PODIATRY, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NORBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARBONA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:787-410-7206
Mailing Address - Street 1:HIMA PLAZA I
Mailing Address - Street 2:500 AVE. DEGETAU SUITE 410
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7306
Mailing Address - Country:US
Mailing Address - Phone:787-410-7206
Mailing Address - Fax:787-961-4654
Practice Address - Street 1:HIMA PLAZA I
Practice Address - Street 2:500 AVE. DEGETAU SUITE 410
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7306
Practice Address - Country:US
Practice Address - Phone:787-410-7206
Practice Address - Fax:787-961-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR089213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRU-72011Medicare UPIN