Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 14687 | PR |
NPI | 1013904440 |
---|---|
Provider Name | Dr. Armando L Oliver |
First Address | San Juan, PR 00920 |
Second Address | Rio Piedras, PR 00923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 22/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H78195 | (02) | PR |