Provider Demographics
NPI:1457101958
Name:DE ARMAS OQUENDO, IGLENIS
Entity Type:Individual
Prefix:
First Name:IGLENIS
Middle Name:
Last Name:DE ARMAS OQUENDO
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 1:10313 BROWNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-6627
Mailing Address - Country:US
Mailing Address - Phone:321-352-1156
Mailing Address - Fax:
Practice Address - Street 1:10313 BROWNWOOD AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-6627
Practice Address - Country:US
Practice Address - Phone:321-352-1156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician