Provider Demographics
NPI:1114471489
Name:ARROYO MERCADO, FRAY MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRAY
Middle Name:MARTIN
Last Name:ARROYO MERCADO
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 1257
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1257
Mailing Address - Country:US
Mailing Address - Phone:787-452-1586
Mailing Address - Fax:
Practice Address - Street 1:200 CALLE HERNANDEZ CARRION, SUITE 512
Practice Address - Street 2:MMC PROFESSIONAL PLAZA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-0067
Practice Address - Country:US
Practice Address - Phone:787-621-2633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2022-0261207R00000X, 207RG0100X
PR21028208D00000X, 207RG0100X
NY390200000X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program