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
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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