Provider Demographics
NPI:1740912187
Name:ARRIOLA, JAIME JR
Entity type:Individual
Prefix:MR
First Name:JAIME
Middle Name:
Last Name:ARRIOLA
Suffix:JR
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 1:7216 DALE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-2430
Mailing Address - Country:US
Mailing Address - Phone:915-731-4050
Mailing Address - Fax:915-206-2558
Practice Address - Street 1:2720 E YANDELL DR STE 104
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3751
Practice Address - Country:US
Practice Address - Phone:915-990-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2283792083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine