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Individual

GERARDO OLIVELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
21829
PR
208D00000X
General Practice Physician
Primary
34644
PR
390200000X
Student in an Organized Health Care Education/Training Program
PR

Other

Enumeration date
07/23/2018
Last updated
07/09/2026
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