=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750048211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OFICINA MEDICA ADORNO ARROYO, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2021
-----------------------------------------------------
Last Update Date | 11/19/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | BO. BEATRIZ CARR 1 KM 49.5
-----------------------------------------------------
City | CAYEY
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-640-6226
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 6400 2294
-----------------------------------------------------
City | CAYEY
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00737-6400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-640-6226
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | WILFREDO ADORNO-ARROYO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 787-640-6226
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------