Provider Demographics
NPI:1831143882
Name:ARROYO, NELLYS (MD)
Entity Type:Individual
Prefix:
First Name:NELLYS
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:PO BOX 5004
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-5004
Mailing Address - Country:US
Mailing Address - Phone:787-856-2045
Mailing Address - Fax:
Practice Address - Street 1:33 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4915
Practice Address - Country:US
Practice Address - Phone:787-856-2045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11372208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PROTH000Medicare UPIN