Provider Demographics
NPI:1093783441
Name:BILLOCH DE JOGLAR, OLGA M (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:M
Last Name:BILLOCH DE JOGLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLGA
Other - Middle Name:M
Other - Last Name:BILLOCH - PICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 29134
Mailing Address - Street 2:CARDIOLOGIA PEDIATRICA RCM
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-474-0333
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY PEDIATRIC HOSPITAL
Practice Address - Street 2:PURTO RICO MEDICAL CENTER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47032080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology