Provider Demographics
NPI:1285259168
Name:OLIVER CRITICAL CARE LLC
Entity type:Organization
Organization Name:OLIVER CRITICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-975-2553
Mailing Address - Street 1:PO BOX 2336
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-2336
Mailing Address - Country:US
Mailing Address - Phone:787-509-1234
Mailing Address - Fax:
Practice Address - Street 1:AX1 CALLE 1
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3693
Practice Address - Country:US
Practice Address - Phone:787-509-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport