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NPI Code Detail

MEDICARE: MILAGROS DELCARMEN OLIVIERY-LORENZO M.D.

MEDICARE: MILAGROS DELCARMEN OLIVIERY-LORENZO M.D.
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
12084P0800XPsychiatry Physician70574-20WI
22084P0800XPsychiatry Physician60540MN

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 : 1265442016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILAGROS DELCARMEN OLIVIERY-LORENZO M.D.
Provider Business Mailing Address
First Line : PO BOX 428
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34656-0428
Country : US
Telephone Number : 727-841-4200
Fax Number :
Provider Business Practice Location Address
First Line : 8132 KING HELIE BLVD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-1435
Country : US
Telephone Number : 724-834-3959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 11/25/2020

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