Healthcare Provider Details

I. General information

NPI: 1790775831
Provider Name (Legal Business Name): MANUEL CELSO GARCIA-ARIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ORTOPEDIA RCM EDIF. PRINCIPAL RCM OFIC 965 CENTRO MEDICO DE PUERTO RICO
RIO PIEDRAS PR
00935
US

IV. Provider business mailing address

ZEUS C-6 MONTE OLIMPO
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-764-5095
  • Fax: 787-620-0714
Mailing address:
  • Phone: 787-790-3622
  • Fax: 787-751-4831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4843
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number4843
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: