Provider Demographics
NPI:1750594339
Name:CDT DR OLIVERAS GUERRA
Entity type:Organization
Organization Name:CDT DR OLIVERAS GUERRA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOVET
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:787-480-5131
Mailing Address - Street 1:PO BOX 21405
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-1405
Mailing Address - Country:US
Mailing Address - Phone:787-480-3876
Mailing Address - Fax:787-764-2237
Practice Address - Street 1:CALLE 8 ESQ 45 PARCELAS FALU RIO PIEDRAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-480-5131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10222CDOtherTRIPLE S TODOS
PR=========OtherGOLDEN CROSS
PR=========OtherCIGNA EXCLUSIVE Y PREFERR
PR1144OtherPROSAM
PR66042700GMedicaid
PR=========OtherMAPHRE HEALTH Y MEDADV
PR=========Medicaid
PR=========OtherMCS CLASSICARE Y LIFE
PR9240075OtherHUMANA TODOS
PR=========OtherPAN AMERICAN
PR030365OtherCRUZ AZUL
PR600204OtherUTI
PR=========OtherAMERICAN HEALTH
PR1001078OtherACCA
PR7713OtherFIRST MEDICAL
PR=========OtherTRYCARE
PR=========OtherMCS CLASSICARE Y LIFE
PR=========6Medicaid
PR=========OtherTRYCARE
PR=========OtherMAPHRE HEALTH Y MEDADV