MEDICARE: JOSE ORCASITA-NG, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144291543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE ORCASITA-NG, LLC

Provider Business Mailing Address
First Line	:	7000 W 12TH AVE
Second Line	:	STE 21-22
City	:	HIALEAH
State	:	FL
Zip	:	33014-5154
Country	:	US
Telephone Number	:	305-362-9560
Fax Number	:	305-827-1581

Provider Business Practice Location Address
First Line	:	7000 W 12TH AVE
Second Line	:	STE 21-22
City	:	HIALEAH
State	:	FL
Zip	:	33014-5154
Country	:	US
Telephone Number	:	305-362-9560
Fax Number	:	305-827-1581

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	JOSE A. ORCASITA-NG
Credential	:	M.D.
Telephone Number	:	305-362-9560

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	03/01/2021

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Directions to “JOSE ORCASITA-NG, LLC ” Practice Location

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