Provider Demographics
NPI:1871558296
Name:ARROYO, MARA N (MD)
Entity type:Individual
Prefix:DR
First Name:MARA
Middle Name:N
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 CALLE 2
Mailing Address - Street 2:URB. PASEO ALTO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5918
Mailing Address - Country:US
Mailing Address - Phone:787-760-1627
Mailing Address - Fax:787-760-1627
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:PMR-117
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-9359
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10209208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation