Provider Demographics
NPI:1013740562
Name:OLIVERAS SERRANO, MONICA MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:MARIE
Last Name:OLIVERAS SERRANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA BORINQUEN CALLE DUAY #414
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-368-4833
Mailing Address - Fax:
Practice Address - Street 1:CARR 735 KM 0.5 LIBERTY OFFICE PLAZA,
Practice Address - Street 2:SUITE 4
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-595-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3530122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist