Provider Demographics
NPI:1336181502
Name:ARANEDA, MARCO ADOLFO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:ADOLFO
Last Name:ARANEDA
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 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:2121 PEASE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8348
Practice Address - Country:US
Practice Address - Phone:956-425-8845
Practice Address - Fax:956-364-6785
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5657207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156995601Medicaid
TX8R1387OtherBLUE CROSS OF TEXAS
TX175714803Medicaid
TX156995602Medicaid
TX8J0550Medicare PIN
TX8R1387OtherBLUE CROSS OF TEXAS
H79274Medicare UPIN
TX175714803Medicaid
TX830008732Medicare PIN