Healthcare Provider Details

I. General information

NPI: 1942868153
Provider Name (Legal Business Name): LUIS YANEZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 SE FEDERAL HWY STE 205
STUART FL
34994-3410
US

IV. Provider business mailing address

1320 SE FEDERAL HWY STE 205
STUART FL
34994-3410
US

V. Phone/Fax

Practice location:
  • Phone: 954-801-8397
  • Fax: 772-492-4906
Mailing address:
  • Phone: 954-801-8397
  • Fax: 772-492-4906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11002591
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: