MEDICARE: DR. JUAN R. ARANGO 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	174400000X	Specialist	10269	PR

General Provider Information

NPI Number	:	1972715498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN R. ARANGO M.D.

Provider Business Mailing Address
First Line	:	165 AVE HOSTOS
Second Line	:	CONDOMINIO EL MONTE NORTE 334
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4244
Country	:	US
Telephone Number	:	787-413-3470
Fax Number	:	787-766-4688

Provider Business Practice Location Address
First Line	:	165 AVE HOSTOS
Second Line	:	CONDOMINIO EL MONTE NORTE 334
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4244
Country	:	US
Telephone Number	:	787-413-3470
Fax Number	:	787-766-4688

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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