Provider Demographics
NPI:1790238269
Name:ARROYO, YADIS (MD)
Entity Type:Individual
Prefix:
First Name:YADIS
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YADIS
Other - Middle Name:MARIE
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10 WESTEDGE ST UNIT 318
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-6910
Mailing Address - Country:US
Mailing Address - Phone:787-414-7409
Mailing Address - Fax:
Practice Address - Street 1:30 COURTENAY DRIVE SUITE 249
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:843-792-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC85755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine