| Doctor Name: | ORVILLE JOSUE OQUENDO |
| NPI Number: | 1063787778 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | X-RAY TECHNICIAN |
| License Number: | BMO61970 |
| Business Practice Address: | 1151 Blackwood Ave Ste 170 Ocoee, FL - 347614523 |
| Business Phone Number: | 4073478339 |
| Business Fax Number: | 4073478394 |
| Mailing Address: | 1105 Arrowsmith Ave, ORLANDO |
| State: | FL |
| Postal Code: | 328097001 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2012 |
| NPI Last Update Date: | 03/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | BMO61970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |