Individual
JOSE LUIS OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 199 KM 15.6, 328 EL CAPA, SAN JUAN, PR 00926-9818
(939) 717-6885
Mailing address
RR 18 BOX 1323, SAN JUAN, PR 00926-9818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PR
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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