Provider Demographics
NPI:1629316435
Name:OROZCO, RICARDO E (SA-C)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:E
Last Name:OROZCO
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 27TH ST
Mailing Address - Street 2:BRAUNLIN BLDG, SUITE 206
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2654
Mailing Address - Country:US
Mailing Address - Phone:740-356-8239
Mailing Address - Fax:
Practice Address - Street 1:1711 27TH ST
Practice Address - Street 2:BRAUNLIN BLDG, SUITE 206
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2654
Practice Address - Country:US
Practice Address - Phone:740-356-8239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant