Provider Demographics
NPI:1255648556
Name:ARRAUT MEDICAL CENTER PSC
Entity type:Organization
Organization Name:ARRAUT MEDICAL CENTER PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRAUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-810-7515
Mailing Address - Street 1:P.O. BOX 4145
Mailing Address - Street 2:
Mailing Address - City:PUERTO REAL
Mailing Address - State:PR
Mailing Address - Zip Code:00740
Mailing Address - Country:US
Mailing Address - Phone:787-810-7540
Mailing Address - Fax:787-626-5473
Practice Address - Street 1:URB. SABANERA CAMINO DE LAS TORTOLAS
Practice Address - Street 2:#36
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-810-7540
Practice Address - Fax:787-626-5473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty