Provider Demographics
NPI:1528535614
Name:AYUB ARANO, LUIS ANGEL (NP-C)
Entity Type:Individual
Prefix:
First Name:LUIS ANGEL
Middle Name:
Last Name:AYUB ARANO
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1746 SW 14TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1409
Mailing Address - Country:US
Mailing Address - Phone:786-222-8885
Mailing Address - Fax:
Practice Address - Street 1:1746 SW 14TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1409
Practice Address - Country:US
Practice Address - Phone:786-222-8885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-27
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL940976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily