Provider Demographics
NPI:1174544639
Name:ARZUAGA-DEL TORO, MARITZA (MD)
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:ARZUAGA-DEL TORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARITZA
Other - Middle Name:
Other - Last Name:ARZUAGA-CHAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:207 E 74TH ST
Mailing Address - Street 2:APT. 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3339
Mailing Address - Country:US
Mailing Address - Phone:212-737-7020
Mailing Address - Fax:212-734-2997
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:NY PRESBYTERIAN HOSPITAL, DEPT. OF EMERGENCY MEDICINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-0282
Practice Address - Fax:212-746-4883
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209569-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01859163Medicaid
NY01859163Medicaid
NY550281Medicare ID - Type Unspecified