Provider Demographics
NPI:1629208541
Name:ARROYO, EMMANUEL (MSW)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:
Last Name:ARROYO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DR ANTIQUE STREET, BX35
Mailing Address - Street 2:QUINTA SECCION LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-214-3226
Mailing Address - Fax:
Practice Address - Street 1:DR. ANTIQUE STREET, BX35 (#OF HOUSE)
Practice Address - Street 2:QUINTA SECCION, LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-214-3226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16655104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker