Provider Demographics
NPI:1134545981
Name:ARROYO, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:
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 1120
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-2120
Mailing Address - Country:US
Mailing Address - Phone:484-482-7751
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE DESVIO NORTE
Practice Address - Street 2:URB ALTURAS DE JAYUYA
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664-2120
Practice Address - Country:US
Practice Address - Phone:484-482-7751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR171M00000X, 251E00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty