Provider Demographics
NPI:1689032476
Name:ARROYO, CELIAURI (MA)
Entity Type:Individual
Prefix:
First Name:CELIAURI
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10105 LEE VISTA BLVD APT 7202
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8092
Mailing Address - Country:US
Mailing Address - Phone:787-562-8713
Mailing Address - Fax:
Practice Address - Street 1:10105 LEE VISTA BLVD APT 7202
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8092
Practice Address - Country:US
Practice Address - Phone:787-562-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4236101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health