Provider Demographics
NPI:1659456168
Name:NIEVES ORTIZ, OMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:NIEVES ORTIZ
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:URB. LOS PASEOS ALTO
Mailing Address - Street 2:35 CALLE 2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5917
Mailing Address - Country:US
Mailing Address - Phone:787-378-4718
Mailing Address - Fax:888-378-0294
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
Practice Address - Street 2:AVE AMERICO MIRANDA CENTRO MEDICO SUITE 8B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-771-3030
Practice Address - Fax:888-378-0294
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2024-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR16079207RC0000X, 207RC0001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine