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NPI Code Detail

MEDICARE: DR. OMAR PEREZ RODRIGUEZ M.D,

MEDICARE: DR. OMAR PEREZ RODRIGUEZ M.D,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD70063691WA
2207V00000XObstetrics & Gynecology Physician35C.003380OH
3207V00000XObstetrics & Gynecology PhysicianP7535TX
4208M00000XHospitalist PhysicianP7535TX

General Provider Information

NPI Number : 1144545617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OMAR PEREZ RODRIGUEZ M.D,
Provider Business Mailing Address
First Line : 45 ST LAWRENCE DR
Second Line :
City : TIFFIN
State : OH
Zip : 44883-8310
Country : US
Telephone Number : 419-455-7000
Fax Number :
Provider Business Practice Location Address
First Line : 45 ST LAWRENCE DR
Second Line :
City : TIFFIN
State : OH
Zip : 44883-8310
Country : US
Telephone Number : 419-455-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2010
Last Update Date : 05/13/2026

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