Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 4301093504 | MI |
Y | 2084N0400X | Neurologist | ME144441 | FL |
NPI | 1033329677 |
---|---|
Provider Name | Mr. Luis Torres Arangua |
First Address | Atlantis, FL 33462-1159 |
Second Address | Wellington, FL 33414-3183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 15/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033329677 | (05) | MI |
1417961137 | BCBSM - BMH (01) | MI |
71697 | WELLMARK BCBS (01) | IA |