Provider Demographics
NPI:1053126193
Name:ARGUELLO PLASTIC SURGERY LLC
Entity type:Organization
Organization Name:ARGUELLO PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLO ANGARITA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:787-961-7050
Mailing Address - Street 1:909 AVE TITO CASTRO
Mailing Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 502
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4721
Mailing Address - Country:US
Mailing Address - Phone:787-961-7050
Mailing Address - Fax:
Practice Address - Street 1:909 AVE TITO CASTRO
Practice Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 502
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4721
Practice Address - Country:US
Practice Address - Phone:787-961-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty