Provider Demographics
NPI:1932134012
Name:ARROYO, ZEFERINO J (MD)
Entity Type:Individual
Prefix:
First Name:ZEFERINO
Middle Name:J
Last Name: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 1:311 E SPRUCE ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5685
Mailing Address - Country:US
Mailing Address - Phone:620-275-3740
Mailing Address - Fax:620-275-3020
Practice Address - Street 1:311 E SPRUCE ST STE 3B
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5685
Practice Address - Country:US
Practice Address - Phone:620-275-3740
Practice Address - Fax:620-275-3020
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0416095208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100082620CMedicaid
B91122Medicare UPIN
104324Medicare ID - Type Unspecified