Provider Demographics
NPI:1720393671
Name:ARROYO, RUTH S ORENGO
Entity Type:Individual
Prefix:MRS
First Name:RUTH S
Middle Name:ORENGO
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 1:331 CALLE JAZMIN
Mailing Address - Street 2:COLINAS
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-2628
Mailing Address - Country:US
Mailing Address - Phone:787-315-4675
Mailing Address - Fax:
Practice Address - Street 1:331 CALLE JAZMIN
Practice Address - Street 2:COLINAS
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-2628
Practice Address - Country:US
Practice Address - Phone:787-315-4675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRAC-11-15-62-5410171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator