Provider Demographics
NPI:1497227714
Name:ARROYO, KIDANYS LEMUEL
Entity Type:Individual
Prefix:
First Name:KIDANYS
Middle Name:LEMUEL
Last Name:ARROYO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 BAY CLUB CIR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2548
Mailing Address - Country:US
Mailing Address - Phone:407-729-5583
Mailing Address - Fax:
Practice Address - Street 1:3815 BAY CLUB CIR UNIT 202
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2548
Practice Address - Country:US
Practice Address - Phone:407-729-5583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker