Provider Demographics
NPI:1770732216
Name:TOLLINCHI, ARTHUR MITCHELL (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:MITCHELL
Last Name:TOLLINCHI
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 142944
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2944
Mailing Address - Country:US
Mailing Address - Phone:939-258-2989
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 63.1
Practice Address - Street 2:BO CANDELARIA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614-2944
Practice Address - Country:US
Practice Address - Phone:939-258-2989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17315207PH0002X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR028777Medicaid