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NPI Code Detail

MEDICARE: OLGA D RIVERA ORELLANO

MEDICARE: OLGA D RIVERA ORELLANO
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
1208D00000XGeneral Practice Physician16551PR

General Provider Information

NPI Number : 1598843534
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA D RIVERA ORELLANO
Provider Business Mailing Address
First Line : STREET 12 L-4 SANTA JUANA II
Second Line :
City : CAGUAS
State : PR
Zip : 00725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 AVE BORINQUEN
Second Line :
City : SAN JUAN
State : PR
Zip : 00915-3822
Country : US
Telephone Number : 787-268-4171
Fax Number : 787-727-3695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/23/2013

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Directions to “ OLGA D RIVERA ORELLANO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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