Active NPI
Mariana Arellano
- Other Technician
- Detroit, MI
National Provider Identifier
1174999866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- A645585009270
- Practice address
- 3412 Livernois Ave.
Apt2
Detroit, MI 48210-2945 - Phone
- (313) 520-5284
- NPI assigned
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | A645585009270 | MI | Primary |
Addresses
Primary practice location
3412 Livernois Ave.
Apt2
Detroit, MI 48210-2945
Mailing address
3412 Livernois Ave.
Apt2
Detroit, MI 48210
Phone (313) 520-5284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247200000 | Other | MI | 247200000 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A645585009270 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1174999866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 LIVERNOIS AVE.",
"address_2": "APT2",
"city": "DETROIT",
"state": "MI",
"postal_code": "48210",
"telephone_number": "313-520-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 LIVERNOIS AVE.",
"address_2": "APT2",
"city": "DETROIT",
"state": "MI",
"postal_code": "482102945",
"telephone_number": "313-520-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "MARIANA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "A645585009270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "247200000",
"identifier": "247200000",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.