Provider Demographics
NPI:1710062211
Name:TROCHE OLIVIERI, ARMANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:TROCHE OLIVIERI
Suffix:
Gender:M
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:P O BOX 2188
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-2188
Mailing Address - Country:US
Mailing Address - Phone:787-803-0410
Mailing Address - Fax:787-803-0343
Practice Address - Street 1:AVE MARATON SAN BLAS
Practice Address - Street 2:150 STREET 21.4 KILOMETER
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-2188
Practice Address - Country:US
Practice Address - Phone:787-803-0410
Practice Address - Fax:787-803-0343
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11529261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG27583Medicare UPIN
PR88403Medicare ID - Type Unspecified