| Doctor Name: | MAURICIO BERRIO OROZCO |
| NPI Number: | 1063891893 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 306583 |
| Business Practice Address: | 1644 Bell Blvd Fl 1 Bayside, NY - 113601640 |
| Business Phone Number: | 9174809598 |
| Business Fax Number: | |
| Mailing Address: | 1644 Bell Blvd Fl 1, BAYSIDE |
| State: | NY |
| Postal Code: | 113601640 |
| Phone Number: | 9174809598 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2015 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 306583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |