Healthcare Provider Details

I. General information

NPI: 1053126193
Provider Name (Legal Business Name): ARGUELLO PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 AVE TITO CASTRO TORRE MEDICA SAN LUCAS SUITE 502
PONCE PR
00716-4721
US

IV. Provider business mailing address

909 AVE TITO CASTRO TORRE MEDICA SAN LUCAS SUITE 502
PONCE PR
00716-4721
US

V. Phone/Fax

Practice location:
  • Phone: 787-961-7050
  • Fax:
Mailing address:
  • Phone: 787-961-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARVIN ARGUELLO ANGARITA
Title or Position: PRESIDENT/OWNER
Credential: MD, MPH
Phone: 787-961-7050