Provider Demographics
NPI:1316233885
Name:DR RICARDO J ARROYO ARROYO CSP
Entity type:Organization
Organization Name:DR RICARDO J ARROYO ARROYO CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-786-0775
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0608
Mailing Address - Country:US
Mailing Address - Phone:787-786-0775
Mailing Address - Fax:787-269-5137
Practice Address - Street 1:CALLE SANTA CRUZ # 68 TORRE SAN PABLO
Practice Address - Street 2:SUITE 803-A
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-0775
Practice Address - Fax:787-269-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8058207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29523Medicare PIN