Healthcare Provider Details

I. General information

NPI: 1831782143
Provider Name (Legal Business Name): ARALDO LORENZO PONCE APRN - FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CENTURY BLVD STE 200
WEST PALM BEACH FL
33417-2262
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 561-282-2960
  • Fax: 561-973-3765
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011684
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: