Healthcare Provider Details
I. General information
NPI: 1346206257
Provider Name (Legal Business Name): ADALBERTO DAVID ARROYO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/21/2006
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9800 N KENDALL DR
MIAMI FL
33187
US
IV. Provider business mailing address
15974 SW 103RD LN
MIAMI FL
33196-6152
US
V. Phone/Fax
- Phone: 305-596-1960
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD2005-0202 |
| License Number State | NM |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | ME94941 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: