Provider Demographics
NPI:1932560075
Name:LUIS E OROZCO DC PA
Entity Type:Organization
Organization Name:LUIS E OROZCO DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-205-1710
Mailing Address - Street 1:13225 SW 146TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7660
Mailing Address - Country:US
Mailing Address - Phone:786-205-1710
Mailing Address - Fax:
Practice Address - Street 1:13225 SW 146TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7660
Practice Address - Country:US
Practice Address - Phone:786-205-1710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty