Provider Demographics
NPI:1700858610
Name:ARROYO ZENGOTITA, GEORGINA (MD)
Entity Type:Individual
Prefix:
First Name:GEORGINA
Middle Name:
Last Name:ARROYO ZENGOTITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GEORGINA
Other - Middle Name:
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 20553
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-0553
Mailing Address - Country:US
Mailing Address - Phone:787-967-6561
Mailing Address - Fax:787-957-6561
Practice Address - Street 1:CARR 188 # C41
Practice Address - Street 2:URB. JARDINES DE LOIZA
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772-1850
Practice Address - Country:US
Practice Address - Phone:787-957-6561
Practice Address - Fax:787-957-6560
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301086949OtherMICHIGAN LICENSE NUMBER
0021400Medicare ID - Type Unspecified