Provider Demographics
NPI:1427839083
Name:ALBARRAN AFANADOR, OLGA TASHIRA (DC)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:TASHIRA
Last Name:ALBARRAN AFANADOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO LA ARBOLEDA CALLE SIN NOMBRE 87 CARR 20
Mailing Address - Street 2:APT 2104
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-505-0671
Mailing Address - Fax:
Practice Address - Street 1:24 CALLE DEGETAU
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6441
Practice Address - Country:US
Practice Address - Phone:787-505-0671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty