Basic Information
Provider Information
NPI: 1962683458
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARROYO-TORRES
FirstName: KERVIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1379
Address2: HOSPITAL MENONITA EDIFICIO PROFESIONAL SUITE 204
City: AIBONITO
State: PR
PostalCode: 007051379
CountryCode: US
TelephoneNumber: 7877350023
FaxNumber: 7877357172
Practice Location
Address1: CALLE STANLEY MILLER
Address2: HOSPITAL MENONITA EDIFICIO PROFESIONAL SUITE 204
City: AIBONITO
State: PR
PostalCode: 007051379
CountryCode: US
TelephoneNumber: 7877350023
FaxNumber: 7877357172
Other Information
ProviderEnumerationDate: 11/26/2007
LastUpdateDate: 03/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X17826PRY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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