Healthcare Provider Details

I. General information

NPI: 1689508012
Provider Name (Legal Business Name): XAVIER ORAMA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE LAS CUMBRES 199 KM 1.2
GUAYNABO PR
00969
US

IV. Provider business mailing address

140 CARR 842 APT 4506
SAN JUAN PR
00926-9760
US

V. Phone/Fax

Practice location:
  • Phone: 787-740-8787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1152
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: