MEDICARE: DR. MANUEL URBANO OLIVARES M.D.

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	207R00000X	Internal Medicine Physician	ME84886	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205800083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL URBANO OLIVARES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 33544
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420-3544
Country	:	US
Telephone Number	:	561-514-4058
Fax Number	:	561-514-0020

Provider Business Practice Location Address
First Line	:	3360 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4323
Country	:	US
Telephone Number	:	561-622-1411
Fax Number	:

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	02/04/2014

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