Provider Demographics
NPI:1487837704
Name:ARROYO, CARLOS I (DPM, FACFAS)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:I
Last Name:ARROYO
Suffix:
Gender:M
Credentials:DPM, FACFAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1494 AVE ROOSEVELT
Mailing Address - Street 2:SUITE 101 CAPARRA HEIGHTS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-9998
Mailing Address - Country:US
Mailing Address - Phone:787-782-1453
Mailing Address - Fax:787-273-1452
Practice Address - Street 1:1494 AVE ROOSEVELT
Practice Address - Street 2:SUITE 101 CAPARRA HEIGHTS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-9998
Practice Address - Country:US
Practice Address - Phone:787-782-1453
Practice Address - Fax:787-273-1452
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0094213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRU90100Medicare UPIN