Organization Active NPI

Vir Arzola P.S.C.

  • Vascular & Interventional Radiology Physician
  • San Juan, PR
National Provider Identifier
1730325101
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
14049 Issued in PR
Legal business name
VIR ARZOLA P.S.C.
Practice address
1948 Calle Jose Fidalgo Diaz
Alturas de Caldas, Apt 141
San Juan, PR 00926-5326
Phone
(787) 415-9192
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jorge Arzola, MD
Title
President
Phone
(787) 415-9192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 14049 PR Primary

Addresses

Primary practice location

1948 Calle Jose Fidalgo Diaz
Alturas de Caldas, Apt 141
San Juan, PR 00926-5326

Mailing address

1948 Calle Jose Fidalgo Diaz
Alturas de Caldas, Apt 141
San Juan, PR 00926-5326
Phone (787) 415-9192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000945 PR Part B Supplier - Clinic/Group Practice 7911186960 Receives reassigned benefits from 1 practitioner
Practice locations: Hato Rey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1730325101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 CALLE JOSE FIDALGO DIAZ",
            "address_2": "ALTURAS DE CALDAS, APT 141",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265326",
            "telephone_number": "787-415-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 CALLE JOSE FIDALGO DIAZ",
            "address_2": "ALTURAS DE CALDAS, APT 141",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265326",
            "telephone_number": "787-415-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIR ARZOLA P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "ARZOLA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-415-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "14049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.