MEDICARE: MISS CAMILLE ARROYO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	25432	PR

General Provider Information

NPI Number	:	1558674119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CAMILLE ARROYO RN

Provider Business Mailing Address
First Line	:	111 CALLE VENUS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-2854
Country	:	US
Telephone Number	:	787-840-6738
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 CALLE VENUS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-2854
Country	:	US
Telephone Number	:	787-840-6738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2010
Last Update Date	:	07/23/2010

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