Provider Demographics
NPI:1063103562
Name:ARRIAGA, RICARDO ANDRES
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:ANDRES
Last Name:ARRIAGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7185 CARR 187
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-7052
Mailing Address - Country:US
Mailing Address - Phone:787-233-4561
Mailing Address - Fax:
Practice Address - Street 1:7185 CARR 187
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-7052
Practice Address - Country:US
Practice Address - Phone:787-233-4561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program