Healthcare Provider Details

I. General information

NPI: 1699160812
Provider Name (Legal Business Name): MARVIN ARGUELLO-ANGARITA MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 AVE TITO CASTRO STE 502
PONCE PR
00716-4721
US

IV. Provider business mailing address

909 AVE TITO CASTRO STE 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 Number023153
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: