Provider Demographics
NPI:1902125461
Name:ARROYO-AVILA, MARIANGELI (MD)
Entity Type:Individual
Prefix:
First Name:MARIANGELI
Middle Name:
Last Name:ARROYO-AVILA
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:PO BOX 645
Mailing Address - Street 2:
Mailing Address - City:GOTHA
Mailing Address - State:FL
Mailing Address - Zip Code:34734-0645
Mailing Address - Country:US
Mailing Address - Phone:407-757-0277
Mailing Address - Fax:407-757-0271
Practice Address - Street 1:1550 CITRUS MEDICAL CT
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4547
Practice Address - Country:US
Practice Address - Phone:407-757-0277
Practice Address - Fax:407-757-0271
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20640207R00000X, 207RR0500X
FLME145211207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1902125461OtherNPI
FL1902125461OtherNPI