Individual
OMAR ELWISHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1395 CALLE SAN RAFAEL, SAN JUAN, PR 00909-2518
(787) 999-7620
Mailing address
1050 AVE LAS PALMAS APT 411, SAN JUAN, PR 00907-5204
(925) 964-7710
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024855
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17110-I
PR
Other
Enumeration date
07/09/2024
Last updated
03/21/2026
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