Individual provider · Type 1 NPI

Agustin Ernesto Olivares Felipe, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1780514224 Active

Practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Call (215) 456-7890 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XO416005993440 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780514224

Agustin Ernesto Olivares Felipe, MD's National Provider Identifier is 1780514224, issued on May 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 19, 2026.