Active NPI
Orville Josue Oquendo, X-RAY TECHNICIAN
- Diagnostic Radiology Physician
- Ocoee, FL
National Provider Identifier
1063787778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- BMO61970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BMO61970 | FL | MD | Diagnostic 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
- Violet Opazo Marcelic
- Open Armz Corporation
- Open Armz Corporation
- Melissa Opie, LCSW
- Optima Imaging Centers of Florieda
- Orchard Park Adult Family Care, LLC
- Orchard Park Assisted Living Facility
- Orlando Anesthesia Consultants PA
- Orlando Center for Internal Medicine & Primary Care PA
- Orlando FL Endoscopy ASC LLC
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.