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Individual

DR. JOSE L OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD,MPH,OM

Contact information

Practice address
HOSPITAL INDUSTRIAL - CENTRO MEDICO, BO. MONACILLOS, SAN JUAN, PR 00936
(787) 764-3260
(787) 767-3968
Mailing address
MANSIONES MONTE VERDE 169, PRECIOSA ST, CAYEY, PR 00736-4161
(787) 948-3651
(787) 767-3968

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03359DM-7
NARCOTICS STATE LICENSE
PR
01
4682
STATE LICENSE
PR
01
AO6962523
FEDERAL NARCOTICS LICENSE
Enumeration date
04/10/2007
Last updated
07/08/2007
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