Provider Demographics
NPI:1073613535
Name:ARROYAVE, IGNACIO (MD)
Entity Type:Individual
Prefix:
First Name:IGNACIO
Middle Name:
Last Name:ARROYAVE
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 367295
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7295
Mailing Address - Country:US
Mailing Address - Phone:787-717-6272
Mailing Address - Fax:
Practice Address - Street 1:FIRST FEDERAL BUIDG
Practice Address - Street 2:1056 AVE MUNOZ RIVERA SUITE 514
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-9998
Practice Address - Country:US
Practice Address - Phone:787-717-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11010208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
F54452Medicare UPIN
83292Medicare ID - Type Unspecified