Provider Demographics
NPI:1932337755
Name:ARIZMENDI, MARIANGELIX (MD)
Entity Type:Individual
Prefix:
First Name:MARIANGELIX
Middle Name:
Last Name:ARIZMENDI
Suffix:
Gender:F
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:VISTA MAR
Mailing Address - Street 2:CALLE 1 B-6
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:787-557-1239
Mailing Address - Fax:
Practice Address - Street 1:CALLE GUADALUPE FINAL # 184
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00733
Practice Address - Country:UM
Practice Address - Phone:787-709-4130
Practice Address - Fax:787-709-4134
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1103225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist