Healthcare Provider Details

I. General information

NPI: 1326151366
Provider Name (Legal Business Name): MAURICIO ARRUDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 01/15/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVENUE
CLEVELAND OH
44106
US

IV. Provider business mailing address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3800
  • Fax:
Mailing address:
  • Phone: 216-844-7108
  • Fax: 216-201-5108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35086997
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: