ISRAEL RIVERA OLIVERO


Address: Ave F.d. Roosevelt 101, Cuartel General - Oficina Medica, San Juan, PR 00936-8166
Phone: 7877931234

ISRAEL RIVERA OLIVERO (NPI# 1558567800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558567800
Entity Type Individual
Full Name ISRAEL RIVERA OLIVERO
Practice Address Ave F.d. Roosevelt 101
Cuartel General - Oficina Medica
San Juan
PR 00936-8166
Mailing Address Urb. Valle Arriba Heights
Calle 136 Ch5
Carolina
PR 00983
Practice Telephone 7877931234
Mailing Telephone 7877509114
Enumeration Date 2007-06-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address AVE F.D. ROOSEVELT 101
CUARTEL GENERAL - OFICINA MEDICA
City SAN JUAN
State PR
Zip Code 00936-8166

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1710592860 Yarleene Ortiz Physician Assistant 371 Calle De Diego, San Juan, PR 00923-3002 2020-09-14
1144835000 Cesar Antonio Avila Physician Assistant 1400 Ave Magdalena, San Juan, PR 00907-2158 2020-09-08
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1841836020 Henry J Laracuente Physician Assistant 29 Calle Washington, San Juan, PR 00907-1510 2019-11-21
1881236677 Simson Raymond Physician Assistant 151 Calle Las Lomas, San Juan, PR 00926-5527 2019-10-13
1558928051 Geraldine R Davila Plaza Physician Assistant 1959 Calle Loiza Ste 401, San Juan, PR 00911-1865 2019-05-21
1104275502 Karina Pena Physician Assistant 801 W 1st St, San Juan, TX 78589-2276 2016-06-07
1003258922 Idabelle Diaz-garcia Physician Assistant 10 Calle Casia, San Juan, PR 00921-3200 2013-07-19
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Competitor

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City SAN JUAN
Zip Code 00936

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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