| Doctor Name: | DR. ELVIN OLIVERO |
| NPI Number: | 1033113659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 14666 |
| Business Practice Address: | 1 Park Ct San Juan, PR - 009262229 |
| Business Phone Number: | 7877559050 |
| Business Fax Number: | 7872920130 |
| Mailing Address: | Calle Gladiel 3 Park Gardens, SAN JUAN |
| State: | PR |
| Postal Code: | 00926 |
| Phone Number: | 7877559050 |
| Fax Number: | 7872920130 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 05/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |