Provider Demographics
NPI:1124333711
Name:AROCHO, LUIS ANTONIO (JD, BA)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:ANTONIO
Last Name:AROCHO
Suffix:
Gender:M
Credentials:JD, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND LAUREL
Mailing Address - Street 2:VIVIENDA TRANSICIONAL BAYAMON
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3273
Mailing Address - Country:US
Mailing Address - Phone:787-908-9925
Mailing Address - Fax:
Practice Address - Street 1:LAUREL AVENUE
Practice Address - Street 2:VIVIENDA TRANSICIONAL BAYAMON
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3273
Practice Address - Country:US
Practice Address - Phone:787-908-9925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst