Individual
MS. CARMEN OLIVA FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVENIDA ANTONIO PAOLI HF6, LEVITTOWN 7MA SECCION, TOA BAJA, PR 00949
(787) 795-3535
Mailing address
AVE SAN PATRICIO, CONDOMINIO EL JARDIN 5I, GUAYNABO, PR 00968
(787) 792-8823
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005458
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005458
NUMERO LICCENCIA
PR
01
—
2004004592
NUMERO REGISTRO
PR
Enumeration date
02/07/2007
Last updated
07/08/2007
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