Healthcare Provider Details
I. General information
NPI: 1811621253
Provider Name (Legal Business Name): ARRAUT HEALTHCARE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CLINICA LAS AMERICAS SUITE 408 AVE. ROOSEVELT
SAN JUAN PR
00917
US
IV. Provider business mailing address
CLINICA LAS AMERICAS SUITE 408 AVE ROOSEVELT
SAN JUAN PR
00917
US
V. Phone/Fax
- Phone: 787-220-5949
- Fax:
- Phone: 787-220-5949
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JUAN
CARLOS
ARRAUT
Title or Position: PRESIDENT
Credential: MD
Phone: 787-220-5949