Affordable Medical Care - Without Health Insurance - From Self-Pay, Cash-Only Doctors.

Medical Director

Our medical director, Efrain Arroyave, MD is a US-trained physician. 


Arroyave earned a Bachelors Degree in Chemistry from the University of Miami, and went on to graduate from The University of Miami School of Medicine. He then completed a one-year residency in Family Medicine & Ophthalmology at the University of Kentucky. 


Arroyave then worked for three years as an Attending Emergency Room Physician at a large county hospital before pursuing a career in Plastic and Reconstructive Surgery. He went on to do a residency in General Surgery at Mt. Sinai Medical Center. Arroyave then did a residency in Plastic and Reconstructive Surgery and Hand Surgery at Boston University and The Lahey Clinic.


In 1996, (due to a hand injury) Arroyave retired from a successful private practice in Cosmetic, Plastic and Reconstructive Surgery. After retirement, Arroyave founded and headed up several medical-related companies with an emphasis on "self-pay" health care.  In 2005, Arroyave founded, and presently servers as the CEO of an online virtual lab serving 45 States - offering deeply discounted Lab Tests to uninsured and underinsured patients.


Seeing the evolution of healthcare with a trend towards unique and novel healthcare "touch-points" for "Self-Pay" patients, Arroyave felt that the time was right to launch Exeter Medical's  practice model.