Healthcare Provider Details

I. General information

NPI: 1780361709
Provider Name (Legal Business Name): GABRIEL ANTONIO MOLINA-ARROYO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 AVE FERNANDEZ JUNCOS STE 1A
SANTURCE PR
00909-2616
US

IV. Provider business mailing address

PO BOX 19657
SAN JUAN PR
00910-1657
US

V. Phone/Fax

Practice location:
  • Phone: 787-724-0871
  • Fax:
Mailing address:
  • Phone: 787-724-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number00120
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: