Provider Demographics
NPI:1487834784
Name:ARROYO SANTIAGO, JOHANNA Y (RN)
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:Y
Last Name:ARROYO SANTIAGO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GLENVIEW GARDENS CALLE E-7-B
Mailing Address - Street 2:#J-23
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00731
Mailing Address - Country:US
Mailing Address - Phone:787-638-6636
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA TITO CASTRO AL LADO DE SAN LUCAS 2
Practice Address - Street 2:CARRETERA 14
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-841-0830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR028575163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse