Provider Demographics
NPI:1821297573
Name:ARROYO, AWILDA (MD)
Entity Type:Individual
Prefix:DR
First Name:AWILDA
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CALLE ROBLE
Mailing Address - Street 2:ESTANCIAS DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3168
Mailing Address - Country:US
Mailing Address - Phone:787-793-0537
Mailing Address - Fax:787-721-7975
Practice Address - Street 1:71 CALLE ROBLE
Practice Address - Street 2:ESTANCIAS DE TORRIMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3168
Practice Address - Country:US
Practice Address - Phone:787-793-0537
Practice Address - Fax:787-721-7975
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR05202261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center