Individual
MRS. MARANYELIZ IVETTE OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
CALLE BORI 1528 CARR. PR1, SAN JUAN, PR 00927
(787) 946-9995
Mailing address
ENCANTADA RIACHUELO RO 38, TRUJILLO ALTO, PR 00976
(787) 696-2845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
869
PR
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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