Provider Demographics
NPI:1396436101
Name:OCORO VALLECILLA, ARNOLD
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:OCORO VALLECILLA
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ARNOLD
Other - Middle Name:
Other - Last Name:OCORO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4308 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4556
Mailing Address - Country:US
Mailing Address - Phone:305-674-2053
Mailing Address - Fax:305-674-2057
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:305-674-2053
Practice Address - Fax:305-674-2057
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program