Basic Information
Provider Information
NPI: 1518616093
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARROYO
FirstName: ANA
MiddleName: ILVIA
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1077
Address2:  
City: AIBONITO
State: PR
PostalCode: 007051077
CountryCode: US
TelephoneNumber: 7872360773
FaxNumber: 7877354887
Practice Location
Address1: CARR 129 KM 0.7 AVE. SAN LUIS
Address2:  
City: ARECIBO
State: PR
PostalCode: 00612
CountryCode: US
TelephoneNumber: 7876507272
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2022
LastUpdateDate: 03/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X15996IPRY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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