Provider Demographics
NPI:1124478532
Name:OROZCO, BARBARA
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OROZCO
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 1:862 CALLE 55 SE
Mailing Address - Street 2:URB. REPARTO METROPOLITANO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2314
Mailing Address - Country:US
Mailing Address - Phone:787-461-8125
Mailing Address - Fax:787-740-0970
Practice Address - Street 1:862 CALLE 55 SE
Practice Address - Street 2:URB. REPARTO METROPOLITANO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2314
Practice Address - Country:US
Practice Address - Phone:787-461-8125
Practice Address - Fax:787-740-0970
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3883183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1142388OtherNABP