Healthcare Provider Details

I. General information

NPI: 1518190230
Provider Name (Legal Business Name): OLGA MICHELLE PEREIRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 CALLE ALDA URB CARIBE
SAN JUAN PR
00926
US

IV. Provider business mailing address

300 AVE LA SIERRA APT 37
SAN JUAN PR
00926-4337
US

V. Phone/Fax

Practice location:
  • Phone: 787-667-9729
  • Fax:
Mailing address:
  • Phone: 787-667-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number20942
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: