Provider Demographics
NPI:1033305123
Name:RIVERA OLMO, CAROLINE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:A
Last Name:RIVERA OLMO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-0212
Mailing Address - Country:US
Mailing Address - Phone:787-404-2323
Mailing Address - Fax:
Practice Address - Street 1:PHARMAMED MEDICAL CENTER 2DO PISO SUITE 1-2
Practice Address - Street 2:CARR 140 KM 63.4 FLORIDA BO MAGUEYES
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-0627
Practice Address - Country:US
Practice Address - Phone:787-970-0708
Practice Address - Fax:787-970-1105
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16886207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology