Provider Demographics
NPI:1073736716
Name:ARROYO OTERO, CARMEN N (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:N
Last Name:ARROYO OTERO
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 1:1202 E SONTERRA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4090
Mailing Address - Country:US
Mailing Address - Phone:210-615-1401
Mailing Address - Fax:
Practice Address - Street 1:1202 E SONTERRA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4090
Practice Address - Country:US
Practice Address - Phone:210-615-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics