MEDICARE: MARIBEL OLIVERAS

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
1	2355S0801X	Speech-Language Assistant	4640	FL

General Provider Information

NPI Number	:	1003529397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL OLIVERAS

Provider Business Mailing Address
First Line	:	8624 VILLA POINT DR APT 136
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-2154
Country	:	US
Telephone Number	:	787-502-6738
Fax Number	:

Provider Business Practice Location Address
First Line	:	8624 VILLA POINT DR APT 136
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-2154
Country	:	US
Telephone Number	:	787-502-6738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2023
Last Update Date	:	01/02/2023

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Directions to “ MARIBEL OLIVERAS ” Practice Location

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