Healthcare Provider Details

I. General information

NPI: 1598273823
Provider Name (Legal Business Name): GABRIEL ARTURO OMS ALVAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 NW 170TH TER
MIAMI FL
33169-5331
US

IV. Provider business mailing address

810 NW 170TH TER
MIAMI FL
33169-5331
US

V. Phone/Fax

Practice location:
  • Phone: 813-992-8858
  • Fax:
Mailing address:
  • Phone: 813-992-8858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: