Provider Demographics
NPI:1568959310
Name:OROZCO, LUZ ADRIANA
Entity Type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:ADRIANA
Last Name:OROZCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9513
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33419-9513
Mailing Address - Country:US
Mailing Address - Phone:561-951-5657
Mailing Address - Fax:
Practice Address - Street 1:1548 W 32ND ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-2972
Practice Address - Country:US
Practice Address - Phone:561-951-5657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty