Healthcare Provider Details

I. General information

NPI: 1043164684
Provider Name (Legal Business Name): OSCAR ARROYOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 E HERRERA RD.
HATCH NM
87937
US

IV. Provider business mailing address

3659 SANTA CECILIA AVE
LAS CRUCES NM
88012-7493
US

V. Phone/Fax

Practice location:
  • Phone: 575-267-8230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT-2026-0022
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: