Provider Demographics
NPI:1669003851
Name:OROPEZA, JOSE (ADMINISTRATOR)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:OROPEZA
Suffix:
Gender:M
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ALMOND CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2089
Mailing Address - Country:US
Mailing Address - Phone:352-433-8498
Mailing Address - Fax:
Practice Address - Street 1:10 ALMOND CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2089
Practice Address - Country:US
Practice Address - Phone:352-433-8498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL19000284227343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)