Individual
MR. ELDIS OMAR INGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
CALLE CASIA, SAN JUAN VA MEDICAL CENTER, SAN JUAN, PR 00921-3201
(787) 641-7582
Mailing address
10 CALLE CASIA, SAN JUAN VA MEDICAL CENTER, SAN JUAN, PR 00921-3201
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
071259
PR
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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