Individual
SAMILLE ANGELICA OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BO MONACILLO, CENTRO MEDICO DE PUERTO RICO, SAN JUAN, PR 00928
(787) 480-2700
Mailing address
KM 37.5 AVENIDA PONCE DE LEON, HATO REY, PR 00919
(787) 758-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
22812
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
15726-I
PR
Other
Enumeration date
05/10/2021
Last updated
12/15/2022
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