1952023855 NPI number — HAZEL COLON ARROYO BACHILLERATO

Table of content: HAZEL COLON ARROYO BACHILLERATO (NPI 1952023855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952023855 NPI number — HAZEL COLON ARROYO BACHILLERATO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARROYO
Provider First Name:
HAZEL
Provider Middle Name:
COLON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BACHILLERATO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARROYO
Provider Other First Name:
HAZEL
Provider Other Middle Name:
COLON
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1952023855
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. EXT LA FE
Provider Second Line Business Mailing Address:
CALLE SAN PEDRO 22317
Provider Business Mailing Address City Name:
JUANA DIAZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-431-1014
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2972 AVE EMILIO FAGOT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716-3615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-598-0323
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2022

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: 2355S0801X , with the licence number:  7648 , 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)





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