# PEDRO T. OLIVEROS JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508966615
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME76859 | FL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | ME 76859 | FL | — |
| 225100000X | Physical Therapist | PT4493 | FL | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 10/02/2008