Provider Demographics
NPI:1649263344
Name:SOMOHANO ARBIDE, MANUEL ANGEL (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ANGEL
Last Name:SOMOHANO ARBIDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MANUEL
Other - Middle Name:ANGEL
Other - Last Name:SOMOHANO ARBIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:P O BOX
Mailing Address - Street 2:1066
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1066
Mailing Address - Country:US
Mailing Address - Phone:787-878-3220
Mailing Address - Fax:787-817-8414
Practice Address - Street 1:P O BOX
Practice Address - Street 2:1066
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613-1066
Practice Address - Country:US
Practice Address - Phone:787-878-3220
Practice Address - Fax:787-817-8414
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6382174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC82626Medicare UPIN