Provider Demographics
NPI:1134101355
Name:AROCHO, BIENVENIDA (MD)
Entity Type:Individual
Prefix:MRS
First Name:BIENVENIDA
Middle Name:
Last Name:AROCHO
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:PARIS 243 PMB 1865
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-763-6086
Mailing Address - Fax:787-763-6086
Practice Address - Street 1:205 CALLE DUARTE
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-3605
Practice Address - Country:US
Practice Address - Phone:787-763-6086
Practice Address - Fax:787-763-6086
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9961208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
0082265Medicare ID - Type Unspecified
G41748Medicare UPIN