Provider Demographics
NPI:1770860967
Name:OROCEO, SOFEENE
Entity Type:Individual
Prefix:
First Name:SOFEENE
Middle Name:
Last Name:OROCEO
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 1:2056 SUNDANCE PKWY
Mailing Address - Street 2:APT. 7207
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2785
Mailing Address - Country:US
Mailing Address - Phone:956-295-5002
Mailing Address - Fax:
Practice Address - Street 1:2056 SUNDANCE PKWY
Practice Address - Street 2:APT. 7207
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2785
Practice Address - Country:US
Practice Address - Phone:956-295-5002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1222910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist