Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME36149 | FL |
NPI | 1063403889 |
---|---|
Provider Name | Dr. Jose F. Arrascue |
First Address | Atlantis, FL 33462-6614 |
Second Address | Atlantis, FL 33462-6614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2005 |
Last Update Date | 29/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039159000 | (05) | FL |
390001873 | RR MEDICARE (01) | FL |
50972 | BLUE CROSS BLUE SHIELD (01) | FL |
D85893 | (02) | FL |