Individual
CARLOS OMENACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9111 PARK DR, MIAMI SHORES, FL 33138-3159
(305) 756-6110
(305) 759-1255
Mailing address
9111 PARK DR, MIAMI SHORES, FL 33138-3159
(305) 756-6110
(305) 759-1255
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME72943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001WY
PREFERRED CARE
—
01
—
026959
NEIGHBORHOOD HEALTH
—
01
—
1030943
CARE PLUS
—
01
—
110239492
MEDICARE RAILROAD
—
01
—
1807528
FIRST HEALTH/COVENTRY
—
01
—
188766
HEALTH EASE
—
01
—
221747
AMERIGROUP
—
01
—
239859
AVMED
—
01
—
25-01608
UNITED HEALTH CARE
—
05
—
253826100
—
FL
01
—
2862969
AETNA HMO
—
01
—
42952
BCBS
—
01
—
7868041
AETNA NON HMO
—
01
—
9561768008
CIGNA
—
01
—
GA447
VISTA
—
Enumeration date
07/05/2005
Last updated
11/28/2022
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