Healthcare Provider Details

I. General information

NPI: 1619087590
Provider Name (Legal Business Name): MIGUEL A ARENAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7445 E TANQUE VERDE RD
TUCSON AZ
85715-3477
US

IV. Provider business mailing address

7445 E TANQUE VERDE RD
TUCSON AZ
85715-3477
US

V. Phone/Fax

Practice location:
  • Phone: 520-722-0744
  • Fax: 520-722-0745
Mailing address:
  • Phone: 520-722-0744
  • Fax: 520-722-0745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number33383
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: