| Olaf Group Llc | |
|
Caparra Heights 551 Ave Escorial San Juan PR 00920 | |
| (787) 782-0403 | |
| Not Available |
| Full Name | Olaf Group Llc |
|---|---|
| Speciality | Dentist |
| Location | Caparra Heights, San Juan, Puerto Rico |
| Authorized Official Name and Position | Fernando Alberto Oliver (OWNER) |
| Authorized Official Contact | 7877820403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olaf Group Llc Arboles De Montehiedra 393 Blvd De Los Arboles San Juan PR 00926 Ph: (787) 983-6141 | Olaf Group Llc Caparra Heights 551 Ave Escorial San Juan PR 00920 Ph: (787) 782-0403 |
| NPI Number | 1558190629 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 9739629189 |
|---|---|
| Medicare Enrollment ID | O20240911004051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558190629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Keisy Bonano Baez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801523840 PECOS PAC ID: 9032656277 Enrollment ID: I20240805004197 |
| Provider Name | Christian Gabriel Morales-oliver |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578293601 PECOS PAC ID: 4082154596 Enrollment ID: I20240911002488 |
| Provider Name | Fernando A Oliver-auffant |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134197189 PECOS PAC ID: 4981992823 Enrollment ID: I20240911004198 |
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