Provider Demographics
NPI:1013639277
Name:OLIVERO, ZACARIA
Entity Type:Individual
Prefix:
First Name:ZACARIA
Middle Name:
Last Name:OLIVERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 E PIEDMONT PL
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6812
Mailing Address - Country:US
Mailing Address - Phone:716-400-9169
Mailing Address - Fax:
Practice Address - Street 1:2076 E PIEDMONT PL
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-6812
Practice Address - Country:US
Practice Address - Phone:716-400-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program