Seda Olmo, Joel Jose
Seda Olmo, Joel Jose is an sole proprietor health care provider with primary practice located at Carr 111 Km 24.0 Int. Bo. Piedras Blancas , San Sebastian PR 00685. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Seda Olmo, Joel Jose can be contacted via phone (787) 313-1524.Contact Information
Primary practice address
Carr 111 Km 24.0 Int. Bo. Piedras Blancas
San Sebastian PR 00685
Phone: (787) 313-1524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 05201358 | Puerto Rico |
Profile Details
| NPI number | 1699340778 |
|---|---|
| LBN Legal business name | Seda Olmo, Joel Jose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2021 |
| Last updated | May 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699340778 | NPPES |
| Puerto Rico | Other | 4125130 | LICENSE |
| Puerto Rico | MEDICAID | 4125130 | LICENSE |
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