Provider Demographics
NPI:1528210259
Name:PEDRO J ARROYO MD PA
Entity Type:Organization
Organization Name:PEDRO J ARROYO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-751-8770
Mailing Address - Street 1:1501 N US HIGHWAY 441 STE 1832
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6806
Mailing Address - Country:US
Mailing Address - Phone:352-751-8770
Mailing Address - Fax:352-751-8771
Practice Address - Street 1:1501 N US HIGHWAY 441 STE 1832
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-6806
Practice Address - Country:US
Practice Address - Phone:352-751-8770
Practice Address - Fax:352-751-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEME56542208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE75866Medicare UPIN
FL372086100Medicare PIN