Provider Demographics
NPI:1124718085
Name:ARADA, MARY JOELINE DE JESUS (MD)
Entity type:Individual
Prefix:MS
First Name:MARY JOELINE
Middle Name:DE JESUS
Last Name:ARADA
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 1:1655 TAFT AVENUE MALATE
Mailing Address - Street 2:UNIT 20810 VICTORIA DE MANILA
Mailing Address - City:MANILA
Mailing Address - State:MANILA
Mailing Address - Zip Code:10040
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-273-8234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program