Provider Demographics
NPI:1972715498
Name:ARANGO, JUAN R (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:R
Last Name:ARANGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:165 AVE HOSTOS
Mailing Address - Street 2:CONDOMINIO EL MONTE NORTE 334
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4244
Mailing Address - Country:US
Mailing Address - Phone:787-413-3470
Mailing Address - Fax:787-766-4688
Practice Address - Street 1:165 AVE HOSTOS
Practice Address - Street 2:CONDOMINIO EL MONTE NORTE 334
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4244
Practice Address - Country:US
Practice Address - Phone:787-413-3470
Practice Address - Fax:787-766-4688
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10269174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist