Provider Demographics
NPI:1245787134
Name:ARROYO, JORGE ALBERTO
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:ALBERTO
Last Name:ARROYO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 CALLE PROFESOR AUGUSTO RODRIGUEZ
Mailing Address - Street 2:CONDOMINIO ASIA SUITE 600
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-568-8002
Mailing Address - Fax:
Practice Address - Street 1:1503 CALLE PROFESOR AUGUSTO RODRIGUEZ
Practice Address - Street 2:CONDOMINIO ASIA SUITE 600
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-497-0800
Practice Address - Fax:787-982-6464
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR57285 P163W00000X
PR32573 A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse