Provider Demographics
NPI:1740978378
Name:MARIA E BALLESTER AROCHO
Entity type:Organization
Organization Name:MARIA E BALLESTER AROCHO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BALLESTER AROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-486-9495
Mailing Address - Street 1:PO BOX 8936
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0936
Mailing Address - Country:US
Mailing Address - Phone:787-725-2222
Mailing Address - Fax:
Practice Address - Street 1:1449 CALLE AMERICO SALAS STE 101
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2104
Practice Address - Country:US
Practice Address - Phone:787-722-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty