Most Relevant Information
Provider Data
| NPI Number: | 1003697442 |
| Provider Name: | DAVID OLIVERAS TAC-III-05-20-9071 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | TAC-III-05-20-9071 |
Most Important Dates
| Enumeration Date: | 10/11/2023 |
| Last Updated: | 10/11/2023 |
Provider Practice Location
71 CALLE VIVES
PONCE
PR
007303887
Practice Location Phone/Fax
| Phone: | 7877092329 |
| Fax: |
Provider Mailing Location
30 CALLE EL VIGIA
PONCE
PR
007302987
Provider Mailing Phone/Fax
| Phone: | 7877092329 |
| Fax: |