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NPI Code Detail

MEDICARE: DR. RICHARD ARROYO-DIAZ MD

MEDICARE: DR. RICHARD ARROYO-DIAZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianJ3731TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3000H160OTHERTXGROUP MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629005418
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ARROYO-DIAZ MD
Provider Business Mailing Address
First Line : 1200 N VIRGINIA ST
Second Line :
City : PORT LAVACA
State : TX
Zip : 77979-2507
Country : US
Telephone Number : 361-552-6721
Fax Number : 361-552-7463
Provider Business Practice Location Address
First Line : 1016 N VIRGINIA ST
Second Line :
City : PORT LAVACA
State : TX
Zip : 77979-3000
Country : US
Telephone Number : 361-552-0325
Fax Number : 361-552-8759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/21/2022

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