Provider Demographics
NPI:1962458547
Name:ARCAMO, ROY ZECH (PA)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:ZECH
Last Name:ARCAMO
Suffix:
Gender:M
Credentials:PA
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 2843
Mailing Address - Street 2:
Mailing Address - City:ST. CROIX
Mailing Address - State:VI
Mailing Address - Zip Code:00851-2843
Mailing Address - Country:US
Mailing Address - Phone:340-277-1106
Mailing Address - Fax:
Practice Address - Street 1:4007 DIAMOND RUBY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4417
Practice Address - Country:US
Practice Address - Phone:340-277-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI013363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant