Provider Demographics
NPI:1699955450
Name:JARAMILLO, ARLEY GUSTAVO (MD)
Entity type:Individual
Prefix:DR
First Name:ARLEY
Middle Name:GUSTAVO
Last Name:JARAMILLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3221 N CAUSEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-737-3456
Mailing Address - Fax:504-738-3456
Practice Address - Street 1:3221 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-737-3456
Practice Address - Fax:504-738-3456
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2023-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.201744207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology