Provider Demographics
NPI:1437690278
Name:OROZCO, IVIS (RRT-NPS)
Entity Type:Individual
Prefix:
First Name:IVIS
Middle Name:
Last Name:OROZCO
Suffix:
Gender:F
Credentials:RRT-NPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 NE 31ST TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7610
Mailing Address - Country:US
Mailing Address - Phone:305-984-4327
Mailing Address - Fax:
Practice Address - Street 1:1136 NE 31ST TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7610
Practice Address - Country:US
Practice Address - Phone:305-984-4327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT12017227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered