Provider Demographics
NPI:1518902931
Name:OLIVEIRA, JULIA DOLORES (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:DOLORES
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5955 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2423
Mailing Address - Country:US
Mailing Address - Phone:305-661-1515
Mailing Address - Fax:305-663-5948
Practice Address - Street 1:5955 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2423
Practice Address - Country:US
Practice Address - Phone:305-661-1515
Practice Address - Fax:305-663-5948
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060707208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1200468OtherUNITED HEALTHCARE
FL114580OtherAMERIGROUP
FL375363800Medicaid
FL805691OtherFIRST HEALTH (CCN)
FL5182013OtherAETNAPPO
FL200365OtherFLORDA HEALTHY KIDS
FL242810OtherAVMED
FL4781OtherDIMENSIONS
FL254203OtherPHCS
FL26272OtherBLUE CROSS / BLUE SHIELD
FL910754100OtherFLORIDA NETPASS
FL000107493OtherHUMANA
FL0581660OtherCIGNA
FL2823430OtherAETNA HMO
FL2823430OtherAETNA HMO