Provider Demographics
NPI:1306831797
Name:MOJICA-ARROYO, YAZMIN M (MD)
Entity Type:Individual
Prefix:MRS
First Name:YAZMIN
Middle Name:M
Last Name:MOJICA-ARROYO
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:STREET PACIFICO PALACIOS DEL PRADO NUM. L-147
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-2124
Mailing Address - Country:US
Mailing Address - Phone:787-382-9070
Mailing Address - Fax:
Practice Address - Street 1:STREET PACIFICO PALACIOS DEL PRADO NUM. L-147
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2124
Practice Address - Country:US
Practice Address - Phone:787-382-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13804208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR200147OtherMMM
1780OtherAMERICAN HEALTH MEDICARE
PR84038MOOtherTRIPLE S
H75260Medicare UPIN
0084038Medicare ID - Type Unspecified