Provider Demographics
NPI:1952435653
Name:ORENGO, ARIEL DEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:DEL C
Last Name:ORENGO
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 5004
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-5004
Mailing Address - Country:US
Mailing Address - Phone:787-397-9792
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLA OLIMPIA
Practice Address - Street 2:CALLE 4 D-2
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-5004
Practice Address - Country:US
Practice Address - Phone:787-397-9792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11409208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41609Medicare UPIN