Provider Demographics
NPI:1396825139
Name:ARROYO FERRER, SANDRA A (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:A
Last Name:ARROYO FERRER
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:PO BOX 876
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0876
Mailing Address - Country:US
Mailing Address - Phone:787-805-2041
Mailing Address - Fax:787-986-0820
Practice Address - Street 1:2638 AVE HOSTOS
Practice Address - Street 2:EDIFIIO BIOPLAZA SUITE 101
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682
Practice Address - Country:US
Practice Address - Phone:787-805-2041
Practice Address - Fax:787-986-7171
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR114622085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR81083AOtherREASSIGNMENT TO: BIOIMAGENES MEDICAS C.S.P
PR81083AOtherREASSIGNMENT TO: BIOIMAGENES MEDICAS C.S.P
PR0088482Medicare PIN