Provider Demographics
NPI:1548278187
Name:ARZOLA-CASTANER, DANIEL (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ARZOLA-CASTANER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:ARZOLA CASTANER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16 CALLE LUHN
Mailing Address - Street 2:CAPARRA TOWN PARK #A3
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1784
Mailing Address - Country:US
Mailing Address - Phone:787-782-5983
Mailing Address - Fax:787-723-5015
Practice Address - Street 1:METROMEDICAL # A
Practice Address - Street 2:SUITE 501995 CARR 2
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5065
Practice Address - Country:US
Practice Address - Phone:787-723-5017
Practice Address - Fax:787-723-5015
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14185174400000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI58868Medicare UPIN
PR0024753Medicare PIN