Provider Demographics
NPI:1912290727
Name:OLMO, JANET MILAGROS
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MILAGROS
Last Name:OLMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 AVE JUAN ROSADO - DF 08-F-2338
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-815-2122
Mailing Address - Fax:787-880-4210
Practice Address - Street 1:446 AVE JUAN ROSADO # 8-F2338
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4265
Practice Address - Country:US
Practice Address - Phone:787-815-2122
Practice Address - Fax:787-880-4210
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist