Provider Demographics
NPI:1447132758
Name:ARROYO CARBALLO, LUZ E
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:E
Last Name:ARROYO CARBALLO
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:HC-03
Mailing Address - Street 2:BOX 16060
Mailing Address - City:AGUAS BUENAS, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00703
Mailing Address - Country:US
Mailing Address - Phone:787-672-5612
Mailing Address - Fax:
Practice Address - Street 1:URB BRISAS DE PALMASOLA
Practice Address - Street 2:CALLE 5 E13
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703
Practice Address - Country:US
Practice Address - Phone:787-672-5612
Practice Address - Fax:787-672-5612
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7114103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling