Omega Csp

NPI 1295071504 - Clinic/Center - 261Q00000X

NPI Details
NPI 1295071504
Enumeration Date 12/14/2012
Last Updated 12/14/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LUIS J. LUIS
Position PRESIDENT
Phone (787) 892-3910
Fax
Practice Location
114 CALLE SANTIAGO VEVE
SUITE 101
SAN GERMAN PR, 00683, US
Phone (787) 892-3910
Fax
Business Location
PO BOX 166
SAN GERMAN PR, 00683-0166, US
Phone (787) 892-3910
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Omega Csp NPI is 1295071504, taxonomy code is 261Q00000X Omega Csp physically located at 114 Calle Santiago Veve, San German PR, 00683. NPI Number 1033115704 has the healthcare provider type.

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1295071504 NPI number is provided on an as is basis without warranty of any kind. 1295071504 is maintained by the National Plan & Provider Enumeration System. The contents of Omega Csp are for informational purposes only.