Waterfalls Longevity Center PLLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

00046050 Issued in WA

Legal business name

WATERFALLS LONGEVITY CENTER PLLC

Practice address

9144 Burnett Rd SE
Ste B-3
Yelm, WA 98597-8488

Phone

(360) 400-2111

Fax

(360) 400-2112

NPI assigned

Nov 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Milagros Arocho, M.D.NPI 1689864852

Title

Owner/Doctor

Phone

(360) 400-2111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milagros I. Arocho, M.D.

  • Gynecology Physician
  • Yelm, WA
  • NPI 1689864852
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1154863157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9144 BURNETT RD SE",
            "address_2": "STE B-3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978488",
            "telephone_number": "360-400-2111",
            "fax_number": "360-400-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9144 BURNETT RD SE",
            "address_2": "STE B-3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978488",
            "telephone_number": "360-400-2111",
            "fax_number": "360-400-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFALLS LONGEVITY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "AROCHO",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "360-400-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WA",
            "license": "00046050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "MD00046050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics Physician in Yelm, WA
• Providers in Yelm, WA by specialty
• Obstetrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.