Healthcare Provider Details

I. General information

NPI: 1528287158
Provider Name (Legal Business Name): ANA TERESA ARROYO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE COSTA RICA #159 APTO. 9-B
SAN JUAN PR
00917-2512
US

IV. Provider business mailing address

CALLE COSTA RICA #159 APTO. 9-B
SAN JUAN PR
00917-2512
US

V. Phone/Fax

Practice location:
  • Phone: 787-753-6658
  • Fax:
Mailing address:
  • Phone: 787-753-6658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number10369
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: