Individual
DR. OMAR ORTIZ-ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 N UNIVERSITY DR, SUITE 400, CORAL SPRINGS, FL 33071-6089
(954) 752-3166
(954) 753-5628
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
17006
PR
208800000X
Urology Physician
Primary
ME107677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256816
WELLCARE
FL
01
—
14412
DIMENSION HEALTH
FL
01
—
389716
AVMED
FL
01
—
4943855
CIGNA
FL
01
—
8ELTJ
BCBS
FL
01
—
9388235
AETNA
FL
01
—
P01604622
RR MEDICARE
FL
01
—
P1035830
FREEDOM
FL
01
—
P971580
OPTIMUM
FL
01
—
QMP00005151201
MOLINA
FL
Enumeration date
06/29/2007
Last updated
04/06/2017
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