Provider Demographics
NPI:1558821025
Name:LAZU ARROYO, CARLOS ALBERTO (MBA, MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ALBERTO
Last Name:LAZU ARROYO
Suffix:
Gender:M
Credentials:MBA, MD
Other - Prefix:DR
Other - First Name:CARLOS
Other - Middle Name:ALBERTO
Other - Last Name:LAZU ARROYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:URB MENDEZ A5
Mailing Address - Street 2:CALLE MARGINAL
Mailing Address - City:YABUCOA, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:939-367-2000
Mailing Address - Fax:787-852-0157
Practice Address - Street 1:RYDER MEMORIAL HOSPITAL
Practice Address - Street 2:#355 CALLE FONT MARTELO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:939-367-2000
Practice Address - Fax:787-852-0157
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22145207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22145OtherSTATE LICENSE