Provider Demographics
NPI:1164637807
Name:OLIVERAS, YOLANDA (TECH)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:OLIVERAS
Suffix:
Gender:F
Credentials:TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE AA BLQ. FF
Mailing Address - Street 2:SUITE # 26 ALTURAS DE VEGA BAJA
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-453-8835
Mailing Address - Fax:
Practice Address - Street 1:CALLE AA BLQ. FF
Practice Address - Street 2:SUITE # 26 ALTURAS DE VEGA BAJA
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-453-8835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5318183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician