DR. OMAR LAZARO ESPONDA M.D. NPI 1295938611

NPI Information

NPI: 1295938611
Provider Name: DR. OMAR LAZARO ESPONDA, M.D.
Classification: Specialist/Technologist Cardiovascular - 246XC2903X
Entity Type: Individual

Specialization: Vascular Specialist

PECOS Registration: Yes

Address:
909 AVE TITO CASTRO STE 602
TORRE MEDICA SAN LUCAS
PONCE, PR
ZIP 00716
Phone: (787) 651-1429
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DR. Omar Lazaro Esponda, M.D. is a vascular specialist specialist technologist cardiovascular in Ponce, PR. DR. Omar Lazaro Esponda, M.D. NPI is 1295938611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

909 AVE TITO CASTRO STE 602
TORRE MEDICA SAN LUCAS
PONCE, PR
ZIP 00716-721
Phone: (787) 651-1429
Fax: (787) 651-1430

The NPI 1295938611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 7/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		18004	PUERTO RICO	No
2	207R00000X	Internal Medicine		123442	FLORIDA	No
3	207R00000X	Internal Medicine		274587	NEW YORK	No
4	207R00000X	Internal Medicine		29407	OKLAHOMA	No
5	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist	18004		Yes
6	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist	18004	PUERTO RICO	No
7	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist			No
8	202K00000X	Phlebology		18004	PUERTO RICO	No
9	202K00000X	Phlebology		274587	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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