Provider Demographics
NPI:1396490512
Name:DBA DR. NOEL ARNAU
Entity type:Organization
Organization Name:DBA DR. NOEL ARNAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-285-0080
Mailing Address - Street 1:55 CALLE FLOR GERENA S
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-4207
Mailing Address - Country:US
Mailing Address - Phone:787-285-0080
Mailing Address - Fax:787-285-0461
Practice Address - Street 1:55 CALLE FLOR GERENA S
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4207
Practice Address - Country:US
Practice Address - Phone:787-285-0080
Practice Address - Fax:787-285-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR037786201Medicaid
PR037786200Medicaid