Healthcare Provider Details

I. General information

NPI: 1578420519
Provider Name (Legal Business Name): RICARDO JAVIER ORAMA OLIVERAS CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 862, KM 1.9, BO. HATO TEJAS
BAYAMON PR
00956-5617
US

IV. Provider business mailing address

O19 CALLE 19
BAYAMON PR
00956-5617
US

V. Phone/Fax

Practice location:
  • Phone: 830-388-2091
  • Fax: 787-740-5445
Mailing address:
  • Phone: 830-388-2091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number016369
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: