Provider Demographics
NPI:1801926423
Name:ARANA, ENRIQUE J SR (DDS)
Entity type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:J
Last Name:ARANA
Suffix:SR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:URB. SAGRADOCORAZON
Mailing Address - Street 2:SANTA EDUVIGIS 1617
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-747-6664
Mailing Address - Fax:787-747-6664
Practice Address - Street 1:CARRETERA 172 CANABONCITO
Practice Address - Street 2:KM 6.9 LOCAL 3
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-747-6664
Practice Address - Fax:787-747-6664
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2015-03-14
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR20201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice