MEDICARE: DR. FELIPE JUAN ARIAS 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	2085R0202X	Diagnostic Radiology Physician	13597	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	:	1336137462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIPE JUAN ARIAS M.D.

Provider Business Mailing Address
First Line	:	CONDOMINIO HARBOR PLAZA
Second Line	:	105 PASEO CONCEPCION DE GRACIA APTO. 605
City	:	SAN JUAN
State	:	PR
Zip	:	00901-2689
Country	:	US
Telephone Number	:	787-508-0177
Fax Number	:

Provider Business Practice Location Address
First Line	:	CONDOMINIO HARBOR PLAZA
Second Line	:	105 PASEO CONCEPCION DE GRACIA APTO. 605
City	:	SAN JUAN
State	:	PR
Zip	:	00901-2689
Country	:	US
Telephone Number	:	787-508-0177
Fax Number	:

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	04/16/2020

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