Provider Demographics
NPI:1962528703
Name:ARROYO, MARIANELA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIANELA
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0758
Mailing Address - Country:US
Mailing Address - Phone:787-857-5010
Mailing Address - Fax:
Practice Address - Street 1:18 CALLE MANUEL TORRES
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-1604
Practice Address - Country:US
Practice Address - Phone:787-857-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7940015OtherHUMANA
PRD000115OtherMENONITA
PR041892OtherCRUZ AZUL
PR2676OtherINTENATIONAL MEDICAL
PR42410OtherTRIPLE S