Costa-Cruz, Omar

Costa-Cruz, Omar is an individual health care provider with primary practice located at 215 Grand Ave , Coral Gables FL 33133-4841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Costa-Cruz, Omar can be contacted via phone (305) 441-7179.

Contact Information

Primary practice address
215 Grand Ave Coral Gables FL 33133-4841
Phone: (305) 441-7179
Fax: (305) 448-7134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME52903 Florida

Profile Details

NPI number 1780639609
LBN Legal business name Costa-Cruz, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780639609 NPPES
New York Other 02576350 MEDICAID
New York Other 11833 MEDICAID
New York MEDICAID 261034500 MEDICAID

Popular Providers