Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 056946 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 24611 | NE |
N | 207RC0000X | Internist - Cardiovascular Disease | 9515 | SD |
N | 207RC0000X | Internist - Cardiovascular Disease | MD-41710 | IA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 24611 | NE |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 9515 | SD |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD-41710 | IA |
NPI | 1164545505 |
---|---|
Provider Name | Roque Bernardo Arteaga |
First Address | Sioux City, IA 51102-3128 |
Second Address | Sioux City, IA 51106-4203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 04/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0202491 | (05) | IA |
200566490A | (05) | KS |
47070592300 | (05) | NE |
47070592301 | (05) | NE |
47070592302 | (05) | NE |
47070592305 | (05) | NE |
47070592306 | (05) | NE |
47070592313 | (05) | NE |
P00980993 | RAILROAD MEDICARE (01) |