Healthcare Provider Details

I. General information

NPI: 1578821484
Provider Name (Legal Business Name): AILEEN E SANTOS-ARROYO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516B CALLE JUAN J JIMENEZ
SAN JUAN PR
00918
US

IV. Provider business mailing address

516B CALLE JUAN J JIMENEZ
SAN JUAN PR
00918-2605
US

V. Phone/Fax

Practice location:
  • Phone: 787-751-6018
  • Fax: 787-282-0168
Mailing address:
  • Phone: 787-751-6018
  • Fax: 787-282-0168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD16208
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number19043
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: