Provider Demographics
NPI:1538679469
Name:ARNP PROFESSIONAL SERVICES.
Entity Type:Organization
Organization Name:ARNP PROFESSIONAL SERVICES.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:YGLESIAS ALCARAZO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-227-4785
Mailing Address - Street 1:13804 SW 26TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6576
Mailing Address - Country:US
Mailing Address - Phone:305-539-0599
Mailing Address - Fax:
Practice Address - Street 1:13804 SW 26TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6576
Practice Address - Country:US
Practice Address - Phone:786-227-4785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014278100Medicaid