Basic Information
Provider Information
NPI: 1902978836
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AROCHO IRIZARRY
FirstName: CELSO
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: URB. VICTOR BRAEGGER
Address2: AVE. VICTOR BRAEGGER #21
City: GUAYNABO
State: PR
PostalCode: 009661623
CountryCode: US
TelephoneNumber: 7877748183
FaxNumber: 7876531776
Practice Location
Address1: HIMA SAN PABLO LUIS MUNOZ MARIN AVE
Address2: MARIOLGA
City: CAGUAS
State: PR
PostalCode: 00725
CountryCode: US
TelephoneNumber: 7876533434
FaxNumber: 7876531776
Other Information
ProviderEnumerationDate: 11/15/2006
LastUpdateDate: 04/23/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X10828PRY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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