Healthcare Provider Details

I. General information

NPI: 1952045981
Provider Name (Legal Business Name): EMMA JILLIANA OROZCO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 04/26/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MSC10 5620 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
81731
US

IV. Provider business mailing address

MSC10 5620 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
81731
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-3160
  • Fax: 505-272-9427
Mailing address:
  • Phone: 505-272-3160
  • Fax: 505-272-9427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: