MEDICARE: OSCAR OSORIO MD

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
1	207V00000X	Obstetrics & Gynecology Physician	ME100754	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13296	OTHER	PR	JUNTA DE LICENCIAMIENTO Y DISCIPLINA DE PR
2	ME100784	OTHER	FL	MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346245644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR OSORIO MD

Provider Business Mailing Address
First Line	:	6470 AVE ISLA VERDE STE 1
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979-7160
Country	:	US
Telephone Number	:	787-276-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6470 AVE ISLA VERDE STE 1
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979-7160
Country	:	US
Telephone Number	:	787-276-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	11/03/2023

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Directions to “ OSCAR OSORIO MD” Practice Location

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