Healthcare Provider Details

I. General information

NPI: 1770732216
Provider Name (Legal Business Name): ARTHUR MITCHELL TOLLINCHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 63.1 BO CANDELARIA
ARECIBO PR
00614-2944
US

IV. Provider business mailing address

PO BOX 142944
ARECIBO PR
00614-2944
US

V. Phone/Fax

Practice location:
  • Phone: 939-258-2989
  • Fax:
Mailing address:
  • Phone: 939-258-2989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number17315
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number17315
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: