Healthcare Provider Details

I. General information

NPI: 1245787134
Provider Name (Legal Business Name): MR. JORGE ALBERTO ARROYO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 09/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 CALLE PROFESOR AUGUSTO RODRIGUEZ CONDOMINIO ASIA SUITE 600
SAN JUAN PR
00909
US

IV. Provider business mailing address

1503 CALLE PROFESOR AUGUSTO RODRIGUEZ CONDOMINIO ASIA SUITE 600
SAN JUAN PR
00909
US

V. Phone/Fax

Practice location:
  • Phone: 787-497-0800
  • Fax: 787-982-6464
Mailing address:
  • Phone: 787-568-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number57285 P
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number32573 A
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: