Martin Arzola

Individual provider Active NPI Professional Counselor · Ponce, PR

NPI 1972856540 · NPPES record last updated Oct 19, 2012

Key facts

NPI
1972856540
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
10686 (PR)
Practice address
El Tuque, Nueva Vida S14 L
Ponce, PR 00728-6623
Phone
(787) 306-2926
NPI assigned
Oct 19, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10686PRMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X TAC-II-15-62-0979 PR
Professional Counselor 101YP2500X 10686 PR Yes

Addresses

Primary practice location

El Tuque, Nueva Vida S14 L
Ponce, PR 00728-6623

Mailing address

El Tuque, Nueva Vida S14 L
Ponce, PR 00728-6623
Phone (787) 306-2926

Other providers in Ponce, PR

All providers in Ponce, PR · Professional Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.