Provider Demographics
NPI:1851513683
Name:OLAYA, INES (MD)
Entity Type:Individual
Prefix:DR
First Name:INES
Middle Name:
Last Name:OLAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SE 8TH AVE APT 1201
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2036
Mailing Address - Country:US
Mailing Address - Phone:954-527-9359
Mailing Address - Fax:
Practice Address - Street 1:111 SE 8TH AVE APT 1201
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2036
Practice Address - Country:US
Practice Address - Phone:954-527-9359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL 14651173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine