Provider Demographics
NPI:1295265189
Name:OLIVIERI, JOSYMAR (BSN)
Entity type:Individual
Prefix:MISS
First Name:JOSYMAR
Middle Name:
Last Name:OLIVIERI
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:MISS
Other - First Name:JOSYMAR
Other - Middle Name:
Other - Last Name:OLIVIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:VIEQUES
Mailing Address - State:PR
Mailing Address - Zip Code:00765-0515
Mailing Address - Country:US
Mailing Address - Phone:787-981-3778
Mailing Address - Fax:
Practice Address - Street 1:171 CALLE 65 INFANTERIA
Practice Address - Street 2:
Practice Address - City:VIEQUES
Practice Address - State:PR
Practice Address - Zip Code:00765
Practice Address - Country:US
Practice Address - Phone:787-616-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR083361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty