Provider Demographics
NPI:1801444526
Name:PEDRO ARROYO MD PA
Entity type:Organization
Organization Name:PEDRO ARROYO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:352-750-6387
Mailing Address - Street 1:837 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-5302
Mailing Address - Country:US
Mailing Address - Phone:352-750-6387
Mailing Address - Fax:352-750-6387
Practice Address - Street 1:837 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-5302
Practice Address - Country:US
Practice Address - Phone:352-750-6387
Practice Address - Fax:352-750-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty