Provider Demographics
NPI:1457187601
Name:SANTIAGO AROCHO, CARLOS JAVIER
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:JAVIER
Last Name:SANTIAGO AROCHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3561 ROCK CREEK LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-9013
Mailing Address - Country:US
Mailing Address - Phone:787-217-1913
Mailing Address - Fax:
Practice Address - Street 1:3561 ROCK CREEK LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-9013
Practice Address - Country:US
Practice Address - Phone:787-217-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2025-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2266363A00000X
FLPACN67363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant