Individual
DR. RADAMES GONZALEZ OLIVIERI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 PONCE BY PASS, SUITE 501, PONCE, PR 00717-1368
(787) 843-9110
(787) 259-2195
Mailing address
2225 PONCE BY PASS, SUITE 501, PONCE, PR 00717-1368
(787) 843-9110
(787) 259-2195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8434
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7310063
HUMANA
PR
Enumeration date
10/12/2005
Last updated
07/08/2007
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