Provider Demographics
NPI:1972081891
Name:OLIVER-RICART, MARIA SOFIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:SOFIA
Last Name:OLIVER-RICART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 CALLE ALICANTE
Mailing Address - Street 2:URB. LA RAMBLA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1509 CALLE ALICANTE
Practice Address - Street 2:URB. LA RAMBLA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4063
Practice Address - Country:US
Practice Address - Phone:787-633-1309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME167193207ZP0102X
PR22770207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology