Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDGARDO E OLIVENCIA, DMD
Active Sole ProprietorDR. EDGARDO E OLIVENCIA, DMD is a Orthodontics healthcare provider located in COROZAL, Puerto Rico. NPI 1285710228 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · COROZAL, PR
Registration Details
- NPI Number
- 1285710228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.806296391542 yrs)
- Last Updated
- Jul 8, 2007
- License
-
876 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
URB. SANFELIZ CALLE 5 #2COROZAL, PR, 00784Browse PR providers · Browse ZIP 00784
- Phone
- 7878594514
- Fax
- 7877935539
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.