| Doctor Name: | DR. LUIS A PACHECO OLIVERAS |
| NPI Number: | 1043200843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 15510 |
| Business Practice Address: | Calle Luis Munoz Rivera #39 Edificio Yoed Oficina No 3 Sabana Grande, PUERTO RICO - 00637 |
| Business Phone Number: | 7878734948 |
| Business Fax Number: | 7878734948 |
| Mailing Address: | Street No 39 Ave Luis Munoz Rivera, Edificio Yoed SABANA GRANDE |
| State: | PR |
| Postal Code: | 006831523 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 10/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |