Guillermo Olivos
Nuclear Medicine Specialist
489 State St
Bangor
, Maine 04401-6616
Guillermo Olivos
Nuclear Medicine Specialist
489 State St
Bangor
, Maine 04401-6616
(207) 482-7800
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Guillermo Olivos
- 324 Gannett Dr Ste 200
- South Portland, ME
- Zip : 04106-3266
- Phone : (207) 482-7800
Second Address
- Guillermo Olivos
- 489 State St
- Bangor, ME
- Zip : 04401-6616
- Phone : (207) 973-8150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | MD16817 | ME |
National Provider Identifier
| NPI | 1245284892 |
|---|---|
| Provider Name | Guillermo Olivos |
| First Address | South Portland, ME 04106-3266 |
| Second Address | Bangor, ME 04401-6616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 03/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.