MEDICARE: OMAYPER

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	261QH0100X	Health Service Clinic/Center	651408	PR

General Provider Information

NPI Number	:	1578724605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMAYPER

Provider Business Mailing Address
First Line	:	112 CALLE ARZUAGA
Second Line	:	SUITE 605
City	:	SAN JUAN
State	:	PR
Zip	:	00925-3321
Country	:	US
Telephone Number	:	787-547-3933
Fax Number	:	787-763-0200

Provider Business Practice Location Address
First Line	:	112 ARZUAGA ST
Second Line	:	SUITE 605
City	:	SAN JUAN
State	:	PR
Zip	:	00925-3321
Country	:	US
Telephone Number	:	787-547-3933
Fax Number	:	787-763-0200

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. OMAYRA PEREIRA ESTRADA
Credential	:	MD
Telephone Number	:	787-547-3933

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	06/20/2008

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Directions to “OMAYPER ” Practice Location

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