Provider Demographics
NPI:1932206505
Name:ARGUELLES, ENRICO F (MD)
Entity Type:Individual
Prefix:MR
First Name:ENRICO
Middle Name:F
Last Name:ARGUELLES
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 1:708 BROADWATER AVENUE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-839-2900
Mailing Address - Fax:406-839-2910
Practice Address - Street 1:708 BROADWATER AVENUE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-839-2900
Practice Address - Fax:406-839-2910
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6647207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0095654Medicaid
MT000003741OtherBCBS OF MT
110033602OtherRAILROAD MEDICARE
MT000003741OtherBCBS OF MT
110033602OtherRAILROAD MEDICARE
MT000084850Medicare ID - Type Unspecified