Provider Demographics
NPI:1841039393
Name:OLIVERAS TEXEIRA, ZOLYMAR (OPTICIAN)
Entity type:Individual
Prefix:
First Name:ZOLYMAR
Middle Name:
Last Name:OLIVERAS TEXEIRA
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 AVE HOSTOS STE 2100
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1252
Mailing Address - Country:US
Mailing Address - Phone:787-834-2280
Mailing Address - Fax:787-834-3020
Practice Address - Street 1:975 AVE HOSTOS STE 2100
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1252
Practice Address - Country:US
Practice Address - Phone:787-834-2280
Practice Address - Fax:787-834-3020
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1071156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician