Provider Demographics
NPI:1457561995
Name:OLIVERAS, GILBERTO (PHARMACIST TECHNICAN)
Entity Type:Individual
Prefix:MR
First Name:GILBERTO
Middle Name:
Last Name:OLIVERAS
Suffix:
Gender:M
Credentials:PHARMACIST TECHNICAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB HIGHLAND PARK
Mailing Address - Street 2:CALLE ANON 1708
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-764-3360
Mailing Address - Fax:787-756-8807
Practice Address - Street 1:URB HIGHLAND PARK
Practice Address - Street 2:CALLE ANON 1708
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-764-3360
Practice Address - Fax:787-756-8807
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1132183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician