Individual provider · Type 1 NPI

Samille Angelica Olivera, MD

Student in an Organized Health Care Education/Training Program · San Juan, PR

NPI number 1790369304 Active

Practice location

Bo Monacillo, Centro Medico De Puerto Rico
San Juan, PR 00928

Call (787) 480-2700 Map

Mailing address

Km 37.5 Avenida Ponce De Leon
Hato Rey, PR 00919

Other practice locations

  • Avenida Ponce De Leon Stop 37.5, Hato Rey, PR 00919 · (787) 758-2000

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X22812 (PR)
Student in an Organized Health Care Education/Training Program Primary 390200000X15726-I (PR)

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 1790369304

Samille Angelica Olivera, MD's National Provider Identifier is 1790369304, issued on May 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Juan, PR. The record was last updated on Dec 15, 2022.