Healthcare Provider Details

I. General information

NPI: 1710906037
Provider Name (Legal Business Name): LUIS A ARROYO AGUIRRECHEA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 11/07/2022
Certification Date: 11/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MARGINAL A 6 URB SAN SALVADOR
MANATI PR
00674-0067
US

IV. Provider business mailing address

192 CAMINO DEL NARCIZO URB SABANERA DORADO
DORADO PR
00646-8425
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-3125
  • Fax: 787-884-3125
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 Number16401
License Number StatePR

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: