1699707992 NPI number — MRS. SARA E ARROYO PADRO MT

Table of content: MRS. SARA E ARROYO PADRO MT (NPI 1699707992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699707992 NPI number — MRS. SARA E ARROYO PADRO MT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARROYO PADRO
Provider First Name:
SARA
Provider Middle Name:
E
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MT
Provider Gender Code:
F

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:
1699707992
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 02 BOX 10005 BO COCOS
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUEBRADILLAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00678-9601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-895-1556
Provider Business Mailing Address Fax Number:
787-895-1556

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR NO 2 KM 97.1
Provider Second Line Business Practice Location Address:
BO COCOS
Provider Business Practice Location Address City Name:
QUEBRADILLAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00678-9601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-895-1556
Provider Business Practice Location Address Fax Number:
787-895-1556
Provider Enumeration Date:
07/07/2006

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: 246QM0706X , with the licence number:  2232 , 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)

  • Identifier: 052168 . This is a "CRUZ AZUL" identifier . This identifiers is of the category "OTHER".




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