Provider Demographics
NPI:1699707992
Name:ARROYO PADRO, SARA E (MT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:E
Last Name:ARROYO PADRO
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 02 BOX 10005 BO COCOS
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-9601
Mailing Address - Country:US
Mailing Address - Phone:787-895-1556
Mailing Address - Fax:787-895-1556
Practice Address - Street 1:CARR NO 2 KM 97.1
Practice Address - Street 2:BO COCOS
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-9601
Practice Address - Country:US
Practice Address - Phone:787-895-1556
Practice Address - Fax:787-895-1556
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2232246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
052168OtherCRUZ AZUL
30919Medicare ID - Type UnspecifiedT-SSS