1750491056 NPI number — DR. RICARDO JOSE ARROYO M.D.

Table of content: DR. RICARDO JOSE ARROYO M.D. (NPI 1750491056)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750491056 NPI number — DR. RICARDO JOSE ARROYO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARROYO
Provider First Name:
RICARDO
Provider Middle Name:
JOSE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750491056
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7891
Provider Second Line Business Mailing Address:
PMB 509
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00970-7891
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-789-1919
Provider Business Mailing Address Fax Number:
787-999-3069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 AVE CASA LINDA SUITE 101
Provider Second Line Business Practice Location Address:
CARR 177 LOS FILTROS
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-8998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-789-1919
Provider Business Practice Location Address Fax Number:
787-999-3069
Provider Enumeration Date:
08/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  8058 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)