Healthcare Provider Details

I. General information

NPI: 1487145249
Provider Name (Legal Business Name): ARELIS NEGRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2018
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 MICHIGAN AVE # 314
KISSIMMEE FL
34744-2927
US

IV. Provider business mailing address

4408 BLUE MESA CT
CLERMONT FL
34714-6510
US

V. Phone/Fax

Practice location:
  • Phone: 407-641-0808
  • Fax: 407-812-4358
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: