Healthcare Provider Details

I. General information

NPI: 1538972773
Provider Name (Legal Business Name): B18 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARIBBEAN MEDICAL BUILDING AVE OSVALDO MOLINA ESQUINA CALLE GENERAL VALERO 375
FAJARDO PR
00738
US

IV. Provider business mailing address

PO BOX 362671
SAN JUAN PR
00936-2671
US

V. Phone/Fax

Practice location:
  • Phone: 787-705-8166
  • Fax:
Mailing address:
  • Phone: 787-705-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GIULIANI T OLIVERAS MALDONADO
Title or Position: PRESIDENTE
Credential: MD
Phone: 787-705-8166