Omsa Delray Beach PA

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN18421 Issued in FL

Legal business name

OMSA DELRAY BEACH PA

Practice address

505 SE 6TH Ave
Delray Beach, FL 33483-5263

Phone

(561) 278-0004

Fax

(561) 278-0005

NPI assigned

Oct 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ramon A Perez-Garcia Sr., DMD

Title

President

Phone

(561) 278-0004

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1235464751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835263",
            "telephone_number": "561-278-0004",
            "fax_number": "561-278-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835263",
            "telephone_number": "561-278-0004",
            "fax_number": "561-278-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMSA DELRAY BEACH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ-GARCIA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-278-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN18421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.