Healthcare Provider Details

I. General information

NPI: 1902049133
Provider Name (Legal Business Name): RAYMOND ARQUILLANO P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2009
Last Update Date: 04/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LINDBERG AVE
MCALLEN TX
78501-2924
US

IV. Provider business mailing address

201 N FM 3167 UNIT E
RIO GRANDE CITY TX
78582-6724
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-4560
  • Fax: 956-618-1342
Mailing address:
  • Phone: 956-687-4560
  • Fax: 956-618-1342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1187328
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: