Provider Demographics
NPI:1962683458
Name:ARROYO-TORRES, KERVIN (MD)
Entity type:Individual
Prefix:
First Name:KERVIN
Middle Name:
Last Name:ARROYO-TORRES
Suffix:
Gender:M
Credentials:MD
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 1379
Mailing Address - Street 2:HOSPITAL MENONITA EDIFICIO PROFESIONAL SUITE 204
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1379
Mailing Address - Country:US
Mailing Address - Phone:787-735-0023
Mailing Address - Fax:787-735-7172
Practice Address - Street 1:CALLE STANLEY MILLER
Practice Address - Street 2:HOSPITAL MENONITA EDIFICIO PROFESIONAL SUITE 204
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1379
Practice Address - Country:US
Practice Address - Phone:787-735-0023
Practice Address - Fax:787-735-7172
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17826208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRER965AMedicare PIN