Provider Demographics
NPI:1235440819
Name:TUBILLEJA-ARONE, JOALA MARTHA PEREZ (DO)
Entity type:Individual
Prefix:DR
First Name:JOALA MARTHA
Middle Name:PEREZ
Last Name:TUBILLEJA-ARONE
Suffix:
Gender:
Credentials:DO
Other - Prefix:DR
Other - First Name:JOALA MARTHA
Other - Middle Name:PEREZ
Other - Last Name:TUBILLEJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:7117 BROCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2658
Mailing Address - Country:US
Mailing Address - Phone:951-782-3789
Mailing Address - Fax:951-784-3275
Practice Address - Street 1:7117 BROCKTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2658
Practice Address - Country:US
Practice Address - Phone:951-782-3789
Practice Address - Fax:951-784-3275
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09250200207Q00000X
CA20A16967207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ274998C04Medicare PIN