Individual
DR. OMAR ORTIZ-ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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