Healthcare Provider Details

I. General information

NPI: 1679563514
Provider Name (Legal Business Name): NOEL JAVIER ARNAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2005
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CALLE FLOR GERENA S
HUMACAO PR
00791-4207
US

IV. Provider business mailing address

55 CALLE FLOR GERENA S
HUMACAO PR
00791-4207
US

V. Phone/Fax

Practice location:
  • Phone: 787-285-0080
  • Fax: 787-285-0461
Mailing address:
  • Phone: 787-285-0080
  • Fax: 787-285-0461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number12099
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number12099
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number12099
License Number StatePR
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number12099
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: