Omega Csp
Clinic/Center in San German, PR. Organization (NPI-2).
NPI number1295071504
StatusActive
Last updated in NPPESDec 14, 2012
Details
- NPI
- 1295071504
- Entity type
- Organization (NPI-2)
- Legal business name
- Omega Csp
- Organization subpart
- No
- Enumeration date
- Dec 14, 2012
- Last updated
- Dec 14, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Omega (Other Name)
Practice location
114 Calle Santiago VeveSuite 101
San German, PR 00683
Phone 787-892-3910
Mailing address
Po Box 166San German, PR 00683-0166
Phone 787-892-3910
Authorized official
Luis J. Deliz
President
7878923910
Is something wrong?
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