| Doctor Name: | JOFGREK OLIVERAS GOTAY |
| NPI Number: | 1053495218 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 13784 |
| Business Practice Address: | 1255 Paseo Las Monjitas # 1255 Suite # 123 Ponce, PR - 007304220 |
| Business Phone Number: | 7878433838 |
| Business Fax Number: | 7878433838 |
| Mailing Address: | Po Box 800073, COTO LAUREL |
| State: | PR |
| Postal Code: | 007800073 |
| Phone Number: | 7878403470 |
| Fax Number: | 7878403470 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 06/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |