Provider Demographics
NPI:1598273823
Name:OMS ALVAREZ, GABRIEL ARTURO
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ARTURO
Last Name:OMS ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 NW 170TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5331
Mailing Address - Country:US
Mailing Address - Phone:813-992-8858
Mailing Address - Fax:
Practice Address - Street 1:810 NW 170TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-5331
Practice Address - Country:US
Practice Address - Phone:813-992-8858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker