Individual
JOSE L OLIVER SEGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 AVE ANDALUCIA, SAN JUAN, PR 00920-5310
(787) 626-6164
Mailing address
BDA MARIANI CALLE WILSON 1933, PONCE, PR 00717
(787) 420-9267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
003529
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2024
Last updated
07/11/2025
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