Mr Omar Anibal Fuentes Aviles, MSW | |
#21 Calle Severo Arana, San Sebastian, PR 00685 | |
(787) 396-6791 | |
Not Available |
Full Name | Mr Omar Anibal Fuentes Aviles |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | #21 Calle Severo Arana, San Sebastian, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720356066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11856 (Puerto Rico) | Primary |
Entity Name | Umbrella Of Purpose And Hope Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740834647 PECOS PAC ID: 8224463369 Enrollment ID: O20200116003033 |
Mailing Address | Practice Location Address |
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Mr Omar Anibal Fuentes Aviles, MSW Po Box 65, San Sebastian, PR 00685-0065 Ph: () - | Mr Omar Anibal Fuentes Aviles, MSW #21 Calle Severo Arana, San Sebastian, PR 00685 Ph: (787) 396-6791 |
Melissa Gonzalez, TRABAJADORA SOCIAL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 2512, San Sebastian, PR 00685 Phone: 787-415-8441 | |
Jesus I Cruz Ramos, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Carretera 433 Km 0.5, Barrio Mirabales, San Sebastian, PR 00685 Phone: 787-362-6517 Fax: 787-551-7066 | |
Carmen J Ruiz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Carr 497 Km 2, Bo Pozas, San Sebastian, PR 00685 Phone: 787-649-4251 | |
Prof. Nelly Rosa, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Hc 1 Box 11380, San Sebastian, PR 00685 Phone: 787-202-2873 | |
Mercedes Roman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bo. Saltos Km. 4.7, Hc 02 Box 21519, San Sebastian, PR 00685 Phone: 787-222-0368 | |
Angie R Evans, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bo. Saltos Km. 4.7, Hc02 Box 21519, San Sebastian, PR 00685 Phone: 787-316-1450 | |
Yamillette Santiago, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: J5 Calle 5, Colinas Verdes, San Sebastian, PR 00685 Phone: 787-702-4325 |