Provider Demographics
NPI:1033744248
Name:AROCHA YIONG, LUIS ERNESTO (ARNP)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ERNESTO
Last Name:AROCHA YIONG
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S POMPANO PKWY
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3003
Mailing Address - Country:US
Mailing Address - Phone:954-974-8901
Mailing Address - Fax:954-970-5382
Practice Address - Street 1:135 S POMPANO PKWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3003
Practice Address - Country:US
Practice Address - Phone:954-974-8901
Practice Address - Fax:954-970-5382
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-08
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1106471363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11006471OtherFNP