Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 18668 | PR |
NPI | 1124312657 |
---|---|
Provider Name | Suleyka Milagros Olivero-Rivera |
First Address | Ponce, PR 00780-0068 |
Second Address | Ponce, PR 00716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 21/12/2021 |