Provider Demographics
NPI:1770905291
Name:INSTITUTO DE MEDICINA DE FAMILIA DE CATANO,INC
Entity type:Organization
Organization Name:INSTITUTO DE MEDICINA DE FAMILIA DE CATANO,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-788-0080
Mailing Address - Street 1:77 CALLE LAS FLORES
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-4701
Mailing Address - Country:US
Mailing Address - Phone:787-788-0080
Mailing Address - Fax:787-788-4907
Practice Address - Street 1:77 CALLE LAS FLORES
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-4701
Practice Address - Country:US
Practice Address - Phone:787-788-0080
Practice Address - Fax:787-788-4907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5753207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79492Medicare UPIN
PR25868Medicare PIN