MEDICARE: CARLOS FRANCISCO ARRILLAGA DDS

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	122300000X	Dentist	2117	PR

General Provider Information

NPI Number	:	1710987649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS FRANCISCO ARRILLAGA DDS

Provider Business Mailing Address
First Line	:	652 MUNOZ RIVER AVE
Second Line	:	STE 3135
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-763-0815
Fax Number	:	787-763-0815

Provider Business Practice Location Address
First Line	:	652 MUNOZ RIVER AVE
Second Line	:	STE 3135
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-763-0815
Fax Number	:	787-763-0815

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/08/2007

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