Provider Demographics
NPI:1609165570
Name:ARROYO, LUZ (DA)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:DA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E8 CALLE 7
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6412
Mailing Address - Country:US
Mailing Address - Phone:787-553-1433
Mailing Address - Fax:787-729-2337
Practice Address - Street 1:CALLE 5 LA PUNTILLA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-729-4344
Practice Address - Fax:787-729-2336
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00024126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant