Provider Demographics
NPI:1104926807
Name:ARROYO, RAUL M (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:M
Last Name:ARROYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 142774
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2774
Mailing Address - Country:US
Mailing Address - Phone:787-878-5785
Mailing Address - Fax:787-817-5288
Practice Address - Street 1:ARECIBO MEDICAL PLAZA
Practice Address - Street 2:AVE. BARBOSA # 65 SUITE # 105
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-2746
Practice Address - Country:US
Practice Address - Phone:787-878-5785
Practice Address - Fax:787-817-5288
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11492208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR$$$$$$$$$OtherSSN