Healthcare Provider Details

I. General information

NPI: 1063077063
Provider Name (Legal Business Name): SAMUEL H ARROYO RIVERA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SAMUEL H FELICIANO RIVERA

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 133.5 CENTERPLEX SUITE 303
AGUADA PR
00602
US

IV. Provider business mailing address

402 CUMBRES DE MIRADERO
MAYAGUEZ PR
00682-7516
US

V. Phone/Fax

Practice location:
  • Phone: 787-925-7246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number24864
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number24864
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: