Provider Demographics
NPI:1356343016
Name:AROCHA, EMELINA ACACIA (MD)
Entity type:Individual
Prefix:
First Name:EMELINA
Middle Name:ACACIA
Last Name:AROCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 144140
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33114-4140
Mailing Address - Country:US
Mailing Address - Phone:305-445-7560
Mailing Address - Fax:305-445-7560
Practice Address - Street 1:2000 SW 27TH AVE
Practice Address - Street 2:STE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2546
Practice Address - Country:US
Practice Address - Phone:305-445-5994
Practice Address - Fax:305-445-5994
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-891182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268928600Medicaid
FLU2417ZMedicare PIN
FLU2417YMedicare PIN