Individual
OMAR O ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
3 CALLE BETANCES, EDIFICIO ROSSY, CIALES, PR 00638-3200
(787) 871-0446
Mailing address
PO BOX 275, CIALES, PR 00638-0275
(787) 438-5824
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
2194
PR
2471R0002X
Radiation Therapy Radiologic Technologist
#87
PR
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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