Provider Demographics
NPI:1902888621
Name:AROCHO, LUIS E (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:E
Last Name:AROCHO
Suffix:
Gender:M
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 3051
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3051
Mailing Address - Country:US
Mailing Address - Phone:787-856-0430
Mailing Address - Fax:787-856-0430
Practice Address - Street 1:58 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3530
Practice Address - Country:US
Practice Address - Phone:787-856-0430
Practice Address - Fax:787-856-0430
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4270208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD33460Medicare UPIN
PR24844Medicare ID - Type Unspecified