Organization
NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR SANTIAGO RODAS (E2/HA)
(631) 745-7381
Entity
Organization
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(631) 745-7381
Mailing address
43 SMITH RD, NEWPORT, RI 02841
Taxonomy
Speciality
Code
Description
License number
State
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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