Provider Demographics
NPI:1609587534
Name:OYOLA, LUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:
Last Name:OYOLA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PINE LOOK PASS
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-2420
Mailing Address - Country:US
Mailing Address - Phone:386-405-4532
Mailing Address - Fax:
Practice Address - Street 1:190 VINING CT
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-6658
Practice Address - Country:US
Practice Address - Phone:386-673-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor