Provider Demographics
NPI:1386251064
Name:ARROYO, LUIS FRANCISCO (APT)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:FRANCISCO
Last Name:ARROYO
Suffix:
Gender:M
Credentials:APT
Other - Prefix:
Other - First Name:LUIS F
Other - Middle Name:ARROYO
Other - Last Name:LABORDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:61 CALLE SAN PATRICIO
Mailing Address - Street 2:
Mailing Address - City:LOIZA
Mailing Address - State:PR
Mailing Address - Zip Code:00772-1750
Mailing Address - Country:US
Mailing Address - Phone:787-379-5669
Mailing Address - Fax:787-886-3399
Practice Address - Street 1:61 CALLE SAN PATRICIO
Practice Address - Street 2:
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772-1750
Practice Address - Country:US
Practice Address - Phone:787-379-5669
Practice Address - Fax:787-886-3399
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3437225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR66-0777936Medicaid