Active NPI
Omega Independence Practice Network, Corp.
- Exclusive Provider Organization
- San German, PR
National Provider Identifier
1922270875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- OMEGA INDEPENDENCE PRACTICE NETWORK, CORP.
- Practice address
- 114 Calle Dr. Santiago Veve
Suite 101
San German, PR 00683 - Phone
- (787) 892-3910
- Fax
- (787) 264-0379
- NPI assigned
- Apr 1, 2008
- Last updated
- Apr 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando Rivera, M.D.
- Title
- President
- Phone
- (787) 892-3910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | NU | Primary |
Addresses
Primary practice location
114 Calle Dr. Santiago Veve
Suite 101
San German, PR 00683
Mailing address
114 Calle Dr. Santiago Veve
Suite 101
San German, PR 00683
Phone (787) 892-3910
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1922270875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CALLE DR. SANTIAGO VEVE",
"address_2": "SUITE 101",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-892-3910",
"fax_number": "787-264-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CALLE DR. SANTIAGO VEVE",
"address_2": "SUITE 101",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-892-3910",
"fax_number": "787-264-0379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA INDEPENDENCE PRACTICE NETWORK, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-892-3910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.