NPI 1962620294 · live from the CMS NPI Registry
Iracema Arevalo, M.D
Pediatrics, Pediatric Infectious Diseases in Fremont, OH. National Provider Identifier 1962620294, active.
NPI record
| NPI | 1962620294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Infectious Diseases 2080P0208X |
| Practice location | 715 S Taft Ave, Fremont, OH 43420 |
| Practice phone | 419-334-6679 |
| Mailing address | 18 Fox Run Dr, Fremont, OH 43420 |
| Enumerated | April 23, 2007 |
| Last updated | April 14, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Infectious Diseases primary | 2080P0208X | 35089621 (OH) |
| General Acute Care Hospital, Rural | 282NR1301X | 35. 089621 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.