Organization
OMEGA CSP
Active
Other names
OMEGA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS J. DELIZ M.D. (PRESIDENT)
(787) 892-3910
Entity
Organization
Contact information
Practice address
114 CALLE SANTIAGO VEVE, SUITE 101, SAN GERMAN, PR 00683
(787) 892-3910
Mailing address
PO BOX 166, SAN GERMAN, PR 00683-0166
(787) 892-3910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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