Provider Demographics
NPI:1225434475
Name:YGLESIAS ALCARAZO, ERNESTO (ARNP,NP-C)
Entity type:Individual
Prefix:
First Name:ERNESTO
Middle Name:
Last Name:YGLESIAS ALCARAZO
Suffix:
Gender:M
Credentials:ARNP,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13804 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:786-227-4785
Mailing Address - Fax:
Practice Address - Street 1:2711 SW 137TH AVE STE 93
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6361
Practice Address - Country:US
Practice Address - Phone:786-227-4785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAR9292665363LF0000X
FLBCBA1-20-42794103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9292665OtherARNP
FL103337400Medicaid