Provider Demographics
NPI:1861424111
Name:SARA E. ARROYO PADRO
Entity type:Organization
Organization Name:SARA E. ARROYO PADRO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARROYO PADRO
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-895-1556
Mailing Address - Street 1:42710 CARR NUM 2
Mailing Address - Street 2:BO, COCOS
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-9441
Mailing Address - Country:US
Mailing Address - Phone:787-895-1556
Mailing Address - Fax:787-895-1556
Practice Address - Street 1:42710 CARR NUM 2
Practice Address - Street 2:BO, COCOS
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-9441
Practice Address - Country:US
Practice Address - Phone:787-895-1556
Practice Address - Fax:787-895-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1016291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
584135181OtherCOSUI
7492OtherINTERNATIONAL
30919OtherTSSS
7492OtherINTERNATIONAL
30919Medicare ID - Type Unspecified