Provider Demographics
NPI:1982657839
Name:ARBELO, NILDA (MD)
Entity Type:Individual
Prefix:
First Name:NILDA
Middle Name:
Last Name:ARBELO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NILDA
Other - Middle Name:
Other - Last Name:ARBELO-GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:22000 MARINE VIEW DR S
Mailing Address - Street 2:STE 200
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-6233
Mailing Address - Country:US
Mailing Address - Phone:206-870-7331
Mailing Address - Fax:206-878-0951
Practice Address - Street 1:22000 MARINE VIEW DR S
Practice Address - Street 2:STE 200
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6233
Practice Address - Country:US
Practice Address - Phone:206-870-7331
Practice Address - Fax:206-878-0951
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00032437207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA310524OtherSTATE L&I
WA310524OtherSTATE L&I
WAF54375Medicare UPIN