Healthcare Provider Details

I. General information

NPI: 1386350635
Provider Name (Legal Business Name): MINIMAL ACCESS GYNECOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 02/19/2023
Certification Date: 02/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A6 CALLE MARGINAL URBANIZACION SAN SALVADOR
MANATI PR
00674
US

IV. Provider business mailing address

192 CAMINO DEL NARCIZO
DORADO PR
00646-3473
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-3125
  • Fax: 787-884-3888
Mailing address:
  • Phone: 787-536-7352
  • Fax: 787-884-3888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology 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: MD
Phone: 787-536-7352