Healthcare Provider Details

I. General information

NPI: 1447799937
Provider Name (Legal Business Name): GUILLERMO PUIG ARROYO D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 AVE GENERAL RAMEY STE 1
SAN ANTONIO PR
00690-1109
US

IV. Provider business mailing address

1 CALLE INGA APT 6D
SAN JUAN PR
00913-4744
US

V. Phone/Fax

Practice location:
  • Phone: 917-808-6093
  • Fax:
Mailing address:
  • Phone: 917-808-6093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number3354
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number3354
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: