Provider Demographics
NPI:1467911792
Name:ARANGO, ALEX ARTURO (FNP)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:ARTURO
Last Name:ARANGO
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 W 57TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6826
Mailing Address - Country:US
Mailing Address - Phone:786-715-6627
Mailing Address - Fax:
Practice Address - Street 1:1786 W 57TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6826
Practice Address - Country:US
Practice Address - Phone:786-715-6627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF02190909363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily