Individual
MS. EDNA C ARROYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 N.W. 21 ST.REET, SUITE # 1401, MIAMI, FL 33142
(786) 285-4126
Mailing address
1250 N.W. 21 ST.REET, 1401, MIAMI, FL 33142
(786) 285-4126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
688422996
MEDWAIVER PROVIDER NUMBER
FL
Enumeration date
04/20/2007
Last updated
07/08/2007
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