Individual provider Active NPI

Orville Josue Oquendo, X-RAY TECHNICIAN

  • Diagnostic Radiology Physician
  • Ocoee, FL
National Provider Identifier
1063787778
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
BMO61970 Issued in FL
Practice address
1151 Blackwood Ave Ste 170
Ocoee, FL 34761-4523
Phone
(407) 347-8339
Fax
(407) 347-8394
NPI assigned
Mar 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X BMO61970 FL Primary

Addresses

Primary practice location

1151 Blackwood Ave Ste 170
Ocoee, FL 34761-4523

Mailing address

1105 Arrowsmith Ave
Orlando, FL 32809-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BMO61970FLMDDiagnostic Radiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1063787778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ARROWSMITH AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BLACKWOOD AVE STE 170",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614523",
            "telephone_number": "407-347-8339",
            "fax_number": "407-347-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OQUENDO",
        "first_name": "ORVILLE",
        "middle_name": "JOSUE",
        "credential": "X-RAY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "BMO61970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.