Provider Demographics
NPI:1619161924
Name:OLIVER, MARIA MARGARITA (PHL)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:MARGARITA
Last Name:OLIVER
Suffix:
Gender:F
Credentials:PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. AMERICO MIRANDA 1663
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921
Mailing Address - Country:US
Mailing Address - Phone:787-783-7092
Mailing Address - Fax:787-783-7092
Practice Address - Street 1:1663 AVE AMERICO MIRANDA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2429
Practice Address - Country:US
Practice Address - Phone:787-783-7092
Practice Address - Fax:787-783-7092
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist