David Oliveras, TAC-III-05-20-9071

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ponce, PR

NPI 1003697442 · NPPES record last updated Oct 11, 2023

Key facts

NPI
1003697442
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
TAC-III-05-20-9071 (PR)
Practice address
71 Calle Vives
Ponce, PR 00730-3887
Phone
(787) 709-2329
NPI assigned
Oct 11, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X TAC-III-05-20-9071 PR Yes

Addresses

Primary practice location

71 Calle Vives
Ponce, PR 00730-3887

Mailing address

30 Calle El Vigia
Ponce, PR 00730-2987
Phone (787) 709-2329

Other providers in Ponce, PR

All providers in Ponce, PR · Addiction (Substance Use Disorder) Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.