Provider Demographics
NPI:1972701555
Name:ARROYO, MAGDA I (MA)
Entity Type:Individual
Prefix:MS
First Name:MAGDA
Middle Name:I
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MAGDA
Other - Middle Name:I
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:HEAVENLY VIEW ESTATES
Mailing Address - Street 2:HEAVENLY VIEW ST. #15
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-637-1758
Mailing Address - Fax:
Practice Address - Street 1:HEAVENLY VIEW ESTATES
Practice Address - Street 2:HEAVENLY VIEW ST. #15
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-637-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2624103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling