Provider Demographics
NPI:1982745063
Name:ARROYO PENA, EFRAIN (MD)
Entity Type:Individual
Prefix:MR
First Name:EFRAIN
Middle Name:
Last Name:ARROYO PENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:EFRAIN
Other - Middle Name:
Other - Last Name:ARROYO PENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:MIGRANT HEALTH CENTER, INC.
Mailing Address - Street 2:P O BOX 7128
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7128
Mailing Address - Country:US
Mailing Address - Phone:787-805-2900
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:MIGRANT HEALTH CENTER, INC.
Practice Address - Street 2:CALLE RAMON EMETERIO BETANCES 392 SUR
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-805-2900
Practice Address - Fax:787-834-1924
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12358208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG61352Medicare UPIN
PR89125Medicare ID - Type UnspecifiedMEDICARE