Provider Demographics
NPI:1467400937
Name:ARROYO RAMIREZ, PEDRO L (MD)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:L
Last Name:ARROYO RAMIREZ
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 5
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0005
Mailing Address - Country:US
Mailing Address - Phone:787-344-1983
Mailing Address - Fax:
Practice Address - Street 1:411 SOLDADO ALCIDES REYES ST
Practice Address - Street 2:URB SAN AGUSTIN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3018
Practice Address - Country:US
Practice Address - Phone:787-344-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5655207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29651Medicare ID - Type Unspecified
PRC83060Medicare UPIN