Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2004 | PR |
N | 1223D0001X | Dental Public Health | 2004 | PR |
NPI | 1366418253 |
---|---|
Provider Name | Dr. Iris V Orozco |
First Address | Caguas, PR 00726-4952 |
Second Address | Caguas, PR 00726-4952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 02/06/2014 |