Individual
ROBERTO OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5280 SW 157TH AVE, MIAMI, FL 33185-5297
(786) 247-8924
Mailing address
16948 SW 141ST CT, MIAMI, FL 33177-2096
(786) 247-8924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25139
FL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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