Provider Demographics
NPI:1710078704
Name:GONZALEZ ARROYO, EFRAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:EFRAIN
Middle Name:
Last Name:GONZALEZ ARROYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1707
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1707
Mailing Address - Country:US
Mailing Address - Phone:787-726-1100
Mailing Address - Fax:787-728-4424
Practice Address - Street 1:1801 AVE PONCE DE LEON
Practice Address - Street 2:STE 308
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-1917
Practice Address - Country:US
Practice Address - Phone:787-726-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5971207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR225018OtherPREFERRED HEALTH PLAN
PR65794OtherCRUZ AZUL DE PUERTO RICO
PR9240007OtherHUMANA INSURANCE OF PR
PR445971OtherUIA
PR601493OtherMEDICARE Y MUCHO MAS
PR27268OtherTRIPLE SSS
PR2949OtherPREFERRED MEDICARE CHOICE
PR9240007OtherHUMANA INSURANCE OF PR
PR225018OtherPREFERRED HEALTH PLAN