Provider Demographics
NPI:1447331517
Name:ARAMBURU, ENID D (OD)
Entity type:Individual
Prefix:
First Name:ENID
Middle Name:D
Last Name:ARAMBURU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HACIENDA LA PRIMAVERA FF4 CALLE INVIERNO
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9385
Mailing Address - Country:US
Mailing Address - Phone:787-744-0077
Mailing Address - Fax:
Practice Address - Street 1:CARR#172 ESQ. 787 LOCAL 22
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-434-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRU195188Medicare UPIN