Provider Demographics
NPI:1841346913
Name:LLITERAS, OLGA M (MD)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:M
Last Name:LLITERAS
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 1:587 CALLE YUNES
Mailing Address - Street 2:PALACIOS DEL RIO I
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-5022
Mailing Address - Country:US
Mailing Address - Phone:787-317-1098
Mailing Address - Fax:787-999-5559
Practice Address - Street 1:HOSPITAL AUXILIO MUTUO
Practice Address - Street 2:AVE PONCE DE LEON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-317-1098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13897146D00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant