Healthcare Provider Details

I. General information

NPI: 1558821025
Provider Name (Legal Business Name): CARLOS ALBERTO LAZU ARROYO MBA, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CARLOS ALBERTO LAZU ARROYO MD

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 09/21/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RYDER MEMORIAL HOSPITAL #355 CALLE FONT MARTELO
HUMACAO PR
00791
US

IV. Provider business mailing address

URB MENDEZ A5 CALLE MARGINAL
YABUCOA, PR PR
00767
US

V. Phone/Fax

Practice location:
  • Phone: 939-367-2000
  • Fax: 787-852-0157
Mailing address:
  • Phone: 939-367-2000
  • Fax: 787-852-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number22145
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: