Healthcare Provider Details

I. General information

NPI: 1912290727
Provider Name (Legal Business Name): JANET MILAGROS OLMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 AVE JUAN ROSADO # 8-F2338
ARECIBO PR
00612-4265
US

IV. Provider business mailing address

446 AVE JUAN ROSADO - DF 08-F-2338
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-815-2122
  • Fax: 787-880-4210
Mailing address:
  • Phone: 787-815-2122
  • Fax: 787-880-4210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4834
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: