Omega Independence Practice Network, Corp.
NPI #1922270875 in San German, Puerto Rico
Provider Information
- NPI Number
- 1922270875
- Entity Type
- Organization
- Organization Name
- Omega Independence Practice Network, Corp.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 1, 2008
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 114 CALLE DR. SANTIAGO VEVE
- Address 2
- SUITE 101
- City
- San German
- State
- Puerto Rico
- ZIP Code
- 00683
- Phone
- (787) 892-3910
Authorized Official
- Name
- DR. FERNANDO RIVERA, M.D.
- Title
- PRESIDENT
- Phone
- (787) 892-3910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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