Healthcare Provider Details

I. General information

NPI: 1295944171
Provider Name (Legal Business Name): NJ ARBONA PODIATRY, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HIMA PLAZA I 500 AVE. DEGETAU SUITE 410
CAGUAS PR
00725-7306
US

IV. Provider business mailing address

HIMA PLAZA I 500 AVE. DEGETAU SUITE 410
CAGUAS PR
00725-7306
US

V. Phone/Fax

Practice location:
  • Phone: 787-410-7206
  • Fax: 787-961-4654
Mailing address:
  • Phone: 787-410-7206
  • Fax: 787-961-4654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number089
License Number StatePR

VIII. Authorized Official

Name: DR. NORBERTO J ARBONA
Title or Position: PODIATRIST
Credential: DPM
Phone: 787-410-7206