Provider Demographics
NPI:1255739785
Name:OLIVERO OB-GYN P.S.C
Entity type:Organization
Organization Name:OLIVERO OB-GYN P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-M.D.
Authorized Official - Prefix:
Authorized Official - First Name:HERMINID
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-243-2023
Mailing Address - Street 1:PMB 312
Mailing Address - Street 2:#1353 RD. 19
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 AVENIDA PONCE DE LEON HATO BEY
Practice Address - Street 2:NATIONAL PLAZA SUIT 1503
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-767-7947
Practice Address - Fax:787-274-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty