Healthcare Provider Details

I. General information

NPI: 1841341229
Provider Name (Legal Business Name): MILAGROS C. ARIZA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2007
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW STE 804
WASHINGTON DC
20037-1475
US

IV. Provider business mailing address

2440 M ST NW STE 804
WASHINGTON DC
20037-1475
US

V. Phone/Fax

Practice location:
  • Phone: 202-758-3210
  • Fax: 202-758-3878
Mailing address:
  • Phone: 202-758-3210
  • Fax: 202-758-3878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD21745
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: