Provider Demographics
NPI:1952336653
Name:AQUINO, FLORENTINO ARPON (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORENTINO
Middle Name:ARPON
Last Name:AQUINO
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 1:24 N SAINT JOSEPH AVE
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-2263
Mailing Address - Country:US
Mailing Address - Phone:269-683-0330
Mailing Address - Fax:269-684-0400
Practice Address - Street 1:24 N SAINT JOSEPH AVE
Practice Address - Street 2:SUITE C-2
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-2263
Practice Address - Country:US
Practice Address - Phone:269-683-0330
Practice Address - Fax:269-684-0400
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031676208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2104541Medicaid
MI4115375Medicare ID - Type Unspecified
MI2104541Medicaid