Individual
OMAR REVERON FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 CALLE FRANCIA, ISABELA, PR 00662-4829
(787) 514-5381
Mailing address
PO BOX 498, SAN ANTONIO, PR 00690-0498
(787) 514-5381
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1887-B
PR
Other
Enumeration date
02/13/2011
Last updated
06/29/2013
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