Healthcare Provider Details

I. General information

NPI: 1033123476
Provider Name (Legal Business Name): SERVICIOS GINECO-OBSTETRICOS DEL NORTE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MARGINAL A 6 URB. SAN SALVADOR
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 2012
MANATI PR
00674-2012
US

V. Phone/Fax

Practice location:
  • Phone: 787-536-7352
  • Fax:
Mailing address:
  • Phone: 787-536-7352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. LUIS A ARROYO-AGUIRRECHEA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-536-7352