Healthcare Provider Details

I. General information

NPI: 1831871607
Provider Name (Legal Business Name): OYOQUE-BARRON SALUD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 01/11/2025
Certification Date: 01/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 PALMER ST
LANSING MI
48910-4424
US

IV. Provider business mailing address

3509 PALMER ST
LANSING MI
48910-4424
US

V. Phone/Fax

Practice location:
  • Phone: 956-246-6207
  • Fax:
Mailing address:
  • Phone: 956-246-6207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA N OYOQUE
Title or Position: SOCIAL WORKER
Credential: LMSW
Phone: 956-246-6207