Provider Demographics
NPI:1528064326
Name:RIVERA ARROYO, JOSE M SR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:RIVERA ARROYO
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:VILLA FONTANA
Mailing Address - Street 2:AVE FRAGOSO 4A S4Y5
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-757-0581
Mailing Address - Fax:787-757-3174
Practice Address - Street 1:VILLA FONTANA
Practice Address - Street 2:AVE FRAGOSO 4A S4Y5
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00986
Practice Address - Country:US
Practice Address - Phone:787-757-0581
Practice Address - Fax:787-757-3174
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2085R0202X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist