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Contact Information

ANGELES OLIVAREZ
815 E. CESAR CHAVEZ BLVD
SAN LUIS, AZ85349
 Phone: 928-627-3822
 Fax: 928-627-3989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANGELES OLIVAREZ · (Female)

NPI # 1316601552
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2021
Last updated 02/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ Medicaid 147479
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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