Omega Csp

NPI #1295071504 in San German, Puerto Rico

Provider Information

NPI Number: 1295071504
Entity Type: Organization
Organization Name: Omega Csp
Primary Specialty: Clinic/Center
Enumeration Date: Dec 14, 2012
Last Updated: Dec 14, 2012

Practice Location

Address: 114 CALLE SANTIAGO VEVE
Address 2: SUITE 101
City: San German
State: Puerto Rico
ZIP Code: 00683
Phone: (787) 892-3910

Authorized Official

Name: DR. LUIS J. DELIZ, M.D.
Title: PRESIDENT
Phone: (787) 892-3910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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