Individual
ORVIN PATRICK OCHOA VISAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 SHINGLE CREEK PKWY, SUITE 250, BROOKLYN CENTER, MN 55430-2128
(763) 544-0696
Mailing address
6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
37776
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09D85VI
BLUE CROSS BLUE SHIELD MI
MN
01
—
1020875
PREFERRED ONE
MN
01
—
112438C028
UCARE
MN
01
—
3100070
MEDICA
MN
05
—
32196200
—
WI
05
—
360764000
—
MN
01
—
847870
AMERICA'S PPO
MN
01
—
HP28541
HEALTHPARTNERS
MN
Enumeration date
07/16/2006
Last updated
11/10/2020
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