Provider Demographics
NPI:1720062144
Name:DASILVA AROCHO, JAIME J
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:J
Last Name:DASILVA AROCHO
Suffix:
Gender:M
Credentials:
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 667
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0667
Mailing Address - Country:US
Mailing Address - Phone:787-997-0101
Mailing Address - Fax:787-997-0202
Practice Address - Street 1:SEVERIANO CUEVAS AVE. INTERIOR KM 141.1
Practice Address - Street 2:HOSPITAL BUEN SAMARITANO, GROUND FLOOR
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605
Practice Address - Country:US
Practice Address - Phone:787-997-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12882207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
601375OtherMEDICARE MUCHO MAS
1298OtherPREFERRED MEDICARE CHOICE
601375OtherMEDICARE MUCHO MAS
1298OtherPREFERRED MEDICARE CHOICE