Provider Demographics
NPI:1225263429
Name:ARANDA JAIMES, JORGE FERNANDO (MD)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:FERNANDO
Last Name:ARANDA JAIMES
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 1:4616 BURLING ST # 2F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2209
Mailing Address - Country:US
Mailing Address - Phone:347-249-4783
Mailing Address - Fax:
Practice Address - Street 1:1800 N MESA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3553
Practice Address - Country:US
Practice Address - Phone:915-269-7398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2384207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology