Healthcare Provider Details

I. General information

NPI: 1518616093
Provider Name (Legal Business Name): DR. ANA ILVIA ARROYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 01/23/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BALDORIOTY 156 NORTE
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 1077
AIBONITO PR
00705-1077
US

V. Phone/Fax

Practice location:
  • Phone: 787-236-0773
  • Fax:
Mailing address:
  • Phone: 787-236-0773
  • Fax: 787-735-4887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number24220
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: