Individual
DR. MARVIN OLIVO JUSTINIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
URB. BORINQUEN, EE20, JOSE CAMPECHE ST., CABO ROJO, PR 00623
(787) 233-2550
Mailing address
PO BOX 774, MAYAGUEZ, PR 00681-0774
(787) 233-2550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1063
PR
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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