Provider Demographics
NPI:1558984955
Name:OROZCO ORTHOPAEDICS LLC
Entity Type:Organization
Organization Name:OROZCO ORTHOPAEDICS LLC
Other - Org Name:OROZCO ORTHOPAEDICS PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FABIO
Authorized Official - Middle Name:RAMIRO
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-300-7779
Mailing Address - Street 1:1999 NEW RD STE B
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1060
Mailing Address - Country:US
Mailing Address - Phone:609-300-7779
Mailing Address - Fax:833-905-2603
Practice Address - Street 1:517 ROUTE 72 W STE E
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2821
Practice Address - Country:US
Practice Address - Phone:609-300-7779
Practice Address - Fax:833-905-2603
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OROZCO ORTHOPAEDICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-20
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty