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NPI Code Detail

MEDICARE: DR. RAYMOND J OLIVIERO D.P.M.

MEDICARE: DR. RAYMOND J OLIVIERO D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist1766TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053368332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND J OLIVIERO D.P.M.
Provider Business Mailing Address
First Line : 137 WINDING MEADOW LANE
Second Line :
City : SPRING BRANCH
State : TX
Zip : 78070
Country : US
Telephone Number : 830-885-6163
Fax Number :
Provider Business Practice Location Address
First Line : 18838 STONE OAK PKWY
Second Line : SUITE 102
City : SAN ANTONIO
State : TX
Zip : 78258-4113
Country : US
Telephone Number : 210-496-3338
Fax Number : 210-496-3349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 06/09/2009

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