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
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
08/09/2019
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