Healthcare Provider Details

I. General information

NPI: 1801717046
Provider Name (Legal Business Name): RAFAEL ANTONIO ARZUAGA RODRIGUEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATE HIGHWAY PR 14 INTERIOR BARRIO RINCON, SECTOR LOMAS
CAYEY PR
00736
US

IV. Provider business mailing address

STATE HIGHWAY PR 14 INTERIOR BARRIO RINCON, SECTOR LOMAS
CAYEY PR
00736
US

V. Phone/Fax

Practice location:
  • Phone: 787-535-1001
  • Fax:
Mailing address:
  • Phone: 787-535-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1966
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: