Individual
SERGIO ANTONIO OLIVERA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1428 SW 14TH TER, MIAMI, FL 33145-1543
(786) 669-1056
Mailing address
1428 SW 14TH TER, MIAMI, FL 33145-1543
(786) 669-1056
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-763
FL
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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