Provider Demographics
NPI:1720626807
Name:OLIVIERI CABAN, DAYNICE MILAGROS (MD)
Entity Type:Individual
Prefix:MISS
First Name:DAYNICE
Middle Name:MILAGROS
Last Name:OLIVIERI CABAN
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 1:1022 AVE. AZTECAS, PRADOS PROVIDENCIA, Z.C.
Mailing Address - Street 2:
Mailing Address - City:GUADALAJARA
Mailing Address - State:JALISCO
Mailing Address - Zip Code:44670
Mailing Address - Country:MX
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BARRIO RINCON, SECTOR LOMAS
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program