Provider Demographics
NPI:1033320098
Name:ARROYO, SANDRA
Entity Type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB BUENA VISTA
Mailing Address - Street 2:CAALE CUATRO A-14
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669
Mailing Address - Country:US
Mailing Address - Phone:787-897-3328
Mailing Address - Fax:
Practice Address - Street 1:FCIA LUMEN MENDEZ
Practice Address - Street 2:PEDRO ALBIZU CAMPOS #10
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669
Practice Address - Country:US
Practice Address - Phone:787-897-2050
Practice Address - Fax:787-897-2778
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1897183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician