Individual ProviderOmar EspinosaDentistDental ProvidersPractice AddressAve Paseo De Los Heroes #9150, Suite A6, Tijuana, Baja California 22010 (Mexico)(619) 806-6764PECOS EnrollmentBased on the most recent information from CMS, provider Omar Espinosa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1902639172Provider TypeIndividualFull NameEspinosa, OmarTitleDr.GenderMaleSole ProprietorYesEnumeration Date8/23/2024Last Updated8/23/2024Contact InformationPractice LocationPractice AddressAve Paseo De Los Heroes #9150, Suite A6, Tijuana, Baja California 22010 (Mexico)Phone(619) 806-6764FaxUnlisted FaxMailing LocationMailing Address4364 Bonita Rd # 611, Bonita, CA 91902-1421PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense11689892