Provider Demographics
NPI:1043498389
Name:A. OMAR VENTO
Entity type:Organization
Organization Name:A. OMAR VENTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:A. OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-642-2020
Mailing Address - Street 1:4100 NW 9TH SUITE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3677
Mailing Address - Country:US
Mailing Address - Phone:305-642-2020
Mailing Address - Fax:305-643-4551
Practice Address - Street 1:4100 NW 9TH ST STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3678
Practice Address - Country:US
Practice Address - Phone:305-642-2020
Practice Address - Fax:305-643-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39937207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3432Medicare PIN