Individual
DR. MARIA E MEDINA OLIVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR. 164 KM. 14.2, BO. PALMAREJO, COROZAL, PR 00783
(787) 427-8931
Mailing address
PMB 304 PO BOX 94 000, COROZAL, PR 00783
(787) 427-8931
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17335
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17335
STATE LICENSE
PR
Enumeration date
09/16/2008
Last updated
09/23/2011
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