Provider Demographics
NPI:1497041750
Name:ARAGUAS PODIATRY CORP
Entity type:Organization
Organization Name:ARAGUAS PODIATRY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAGUAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:760-550-6259
Mailing Address - Street 1:2410 COMMERCE TRL
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-4003
Mailing Address - Country:US
Mailing Address - Phone:760-550-6259
Mailing Address - Fax:760-550-6189
Practice Address - Street 1:2410 COMMERCE TRL
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-4003
Practice Address - Country:US
Practice Address - Phone:760-550-6259
Practice Address - Fax:760-550-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4792213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty