Active NPIIndividual providerSole proprietor

Samille A Olivera, MD

Student in an Organized Health Care Education/Training Program in San Juan, Puerto Rico

NPI Number1790369304
Practice location
Bo Monacillo, Centro Medico De Puerto Rico, San Juan, PR 00928
Fax
—
Last updated
December 15, 2022

Samille Angelica Olivera is a Student in an Organized Health Care Education/Training Program based in San Juan, PR. Samille Angelica Olivera practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Samille Angelica Olivera is 1790369304 and holds a License No. 22812 (PR). The current practice location address for Samille Angelica Olivera is Bo Monacillo, Centro Medico De Puerto Rico, San Juan, PR 00928 and can be reached out via phone at 787-480-2700.

Provider Profile Details

NPI Number
1790369304
Provider Name
Samille Angelica Olivera
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Bo Monacillo, Centro Medico De Puerto Rico, San Juan, PR 00928
Phone Number
787-480-2700
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2021
Last Update Date
December 15, 2022
Certification Date
December 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bo Monacillo
Centro Medico De Puerto Rico
San Juan, PR 00928
Zip
00928
Phone Number
787-480-2700
San Juan, PR 00928Get directions →

Provider Business Mailing Address Details

Address
Km 37.5 Avenida Ponce De Leon
Hato Rey, PR 00919
City
Hato Rey
State
PR
Zip
00919
Phone Number
787-758-2000

License Information

License Number (1)
22812
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
15726-I
License State (2)
PR

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samille A Olivera, MD?

The NPI number of Samille A Olivera, MD is 1790369304. It was assigned on May 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Samille A Olivera, MD?

Samille A Olivera, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 22812.

Where does Samille A Olivera, MD practice?

The practice location is Bo Monacillo, Centro Medico De Puerto Rico, San Juan, PR 00928. The office can be reached at 787-480-2700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790369304 directly on the NPPES registry website.

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