Healthcare Provider Details

I. General information

NPI: 1033744248
Provider Name (Legal Business Name): LUIS ERNESTO AROCHA YIONG ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2020
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S POMPANO PKWY
POMPANO BEACH FL
33069-3003
US

IV. Provider business mailing address

135 S POMPANO PKWY
POMPANO BEACH FL
33069-3003
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-8901
  • Fax: 954-970-5382
Mailing address:
  • Phone: 954-974-8901
  • Fax: 954-970-5382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1106471
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: