Individual
ENRIQUE B OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DOO46313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500772
EVERCARE
MD
05
—
677520900
—
MD
01
—
9895R
MD
MD
Enumeration date
10/07/2005
Last updated
01/02/2014
Update your record
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