Provider Demographics
NPI:1023219953
Name:ARROYO, MARIA DELOSANGELES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DELOSANGELES
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4436
Mailing Address - Country:US
Mailing Address - Phone:318-222-6123
Mailing Address - Fax:318-222-0710
Practice Address - Street 1:1919 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4436
Practice Address - Country:US
Practice Address - Phone:318-222-6123
Practice Address - Fax:318-222-0710
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4168R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5L346B663Medicare ID - Type Unspecified
LAB89157Medicare UPIN