Provider Demographics
NPI:1902506546
Name:ARIMAS, MARILUZ BISQUERA
Entity Type:Individual
Prefix:
First Name:MARILUZ
Middle Name:BISQUERA
Last Name:ARIMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 MACKINAW ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5921
Mailing Address - Country:US
Mailing Address - Phone:408-390-4931
Mailing Address - Fax:
Practice Address - Street 1:1265 SOCORRO AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94089-2620
Practice Address - Country:US
Practice Address - Phone:408-390-4931
Practice Address - Fax:408-900-8850
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility