Healthcare Provider Details

I. General information

NPI: 1881084770
Provider Name (Legal Business Name): GEOVANIE LUIS AROCHO-PAGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. JUAN HERNANDEZ #7 ALTOS EDIFICIO TAVAREZ
ISABELA PR
00662-0000
US

IV. Provider business mailing address

9021 PASEO LOS CEREZOS
SAN ANTONIO PR
00690-1296
US

V. Phone/Fax

Practice location:
  • Phone: 787-872-4300
  • Fax: 787-872-4300
Mailing address:
  • Phone: 787-378-8882
  • Fax: 787-872-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18994
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: