Organization
OMEGA INDEPENDENCE PRACTICE NETWORK, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO RIVERA M.D. (PRESIDENT)
(787) 892-3910
Entity
Organization
Contact information
Practice address
114 CALLE DR. SANTIAGO VEVE, SUITE 101, SAN GERMAN, PR 00683
(787) 892-3910
(787) 264-0379
Mailing address
114 CALLE DR. SANTIAGO VEVE, SUITE 101, SAN GERMAN, PR 00683
(787) 892-3910
(787) 264-0379
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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