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ESPONDA, OMAR LAZARO
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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Practice Address: |
HOSPITAL PEREA
PO BOX 170
MAYAGUEZ PR 00681
Address last updated on 5/25/2021 |
Phone #: |
(787) 834-0101 x2009 |
Fax #: |
(787) 833-1537 |
County: |
NOT OKLAHOMA |
License: |
29407 |
Dated: |
7/31/2012 |
Expires: |
7/1/2021 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine
Phlebology
Vascular Medicine |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Central Del Caribe Sch Of Med, Bayamon Pr 00621 |
Graduated: |
6 /
2006 |
CME Year: |
2021 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
New Patients: |
Yes |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
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