SAMILLE ANGELICA OLIVERA MD
NPI 1790369304
Student in an Organized Health Care Education/Training Program in San Juan, PR

Active since May 10, 2021
BO MONACILLO, CENTRO MEDICO DE PUERTO RICO, SAN JUAN, PR 00928(787) 480-2700 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2022, May 10, 2021 (2 updates tracked since 2021).

About Samille Angelica Olivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMILLE ANGELICA OLIVERA MD (NPI 1790369304) is an individual student in an organized health care education/training program in San Juan, Puerto Rico, licensed in Puerto Rico (15726-I) and active in the NPI registry since May 2021. She maintains a secondary practice location in Hato Rey.

NPPES Registry Identity

NPI1790369304
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMILLE ANGELICA OLIVERACredential: MD
Location AddressBO MONACILLO, CENTRO MEDICO DE PUERTO RICOSan Juan, PR 00928
Mailing AddressKm 37.5 Avenida Ponce De LeonHato Rey, PR 00919 · (787) 758-2000
Sole ProprietorYes
Enumeration DateMay 10, 2021
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
NPI 1790369304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in PR · 15726-I
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 22812 (PR)

Secondary Practice Location 1

Location 1Avenida Ponce de Leon stop 37.5Hato Rey, PR 00919 · Phone (787) 758-2000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samille Olivera's NPI number?

The NPI number for Samille Olivera is 1790369304. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Samille Olivera located?

Samille Olivera practices at Bo Monacillo Centro Medico De Puerto Rico, San Juan, PR 00928. The listed phone number is (787) 480-2700.

What is Samille Olivera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samille Olivera was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.