MEDICARE: DR. ARNALDO CRUZ IGARTUA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician	7654	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013110899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNALDO CRUZ IGARTUA M.D.

Provider Business Mailing Address
First Line	:	317 CALLE INTERAMERICANA
Second Line	:	UNIVERSITY GARDENS
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4011
Country	:	US
Telephone Number	:	787-764-8479
Fax Number	:	787-764-8479

Provider Business Practice Location Address
First Line	:	1513 CALLE PARANA
Second Line	:	URB. EL PARAISO
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2814
Country	:	US
Telephone Number	:	787-764-8479
Fax Number	:	787-764-8479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	11/17/2022

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