Omenaca, Carlos

Omenaca, Carlos is an sole proprietor health care provider with primary practice located at 9111 Park Dr , Miami Shores FL 33138-3159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Omenaca, Carlos can be contacted via phone (305) 756-6110.

Contact Information

Primary practice address
9111 Park Dr Miami Shores FL 33138-3159
Phone: (305) 756-6110
Fax: (305) 759-1255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME72943 Florida

Profile Details

NPI number 1205833381
LBN Legal business name Omenaca, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Nov 28th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205833381 NPPES
Other 221747 AMERIGROUP
Other GA447 AMERIGROUP
Other 239859 AMERIGROUP
Other 25-01608 AMERIGROUP
Other 2862969 AMERIGROUP
Other 110239492 AMERIGROUP
Other 42952 AMERIGROUP
Other 001WY AMERIGROUP
Other 188766 AMERIGROUP
Other 9561768008 AMERIGROUP
Other 026959 AMERIGROUP
Other 7868041 AMERIGROUP
Other 1030943 AMERIGROUP
Other 1807528 AMERIGROUP
MEDICAID 253826100 AMERIGROUP

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