Doctor Name: | MARTIN ALBERTO ARRISUENO |
NPI Number: | 1427124114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01062744A |
Business Practice Address: | 336 Fort Pickens Rd Apt W109 Pensacola Beach, FL - 325612049 |
Business Phone Number: | 2022574721 |
Business Fax Number: | |
Mailing Address: | 6314 Lamplight Ct, SUFFOLK |
State: | VA |
Postal Code: | 234353019 |
Phone Number: | 7576182239 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01062744A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |