Provider Demographics
NPI:1619425618
Name:ARROYAVE, CESAR AUGUSTO JR
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:AUGUSTO
Last Name:ARROYAVE
Suffix:JR
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 1:363 E RIMINI CT
Mailing Address - Street 2:APT 3A
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-3634
Mailing Address - Country:US
Mailing Address - Phone:224-432-7598
Mailing Address - Fax:
Practice Address - Street 1:363 E RIMINI CT
Practice Address - Street 2:APT 3A
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-3634
Practice Address - Country:US
Practice Address - Phone:224-432-7598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant