Active NPI
Julie M Olivencia Sanabria, MD
- Child & Adolescent Psychiatry Physician
- Fajardo, PR
National Provider Identifier
1053355784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 9364
- Practice address
- #55 Calle del Carmen
Fajardo, PR 00738 - Phone
- (787) 860-3558
- Fax
- (787) 860-3330
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 9364 | PR | Primary |
Addresses
Primary practice location
#55 Calle del Carmen
Fajardo, PR 00738
Mailing address
PO Box 1522
Las Piedras, PR 00771-1522
Phone (787) 860-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.O.R. Community Mental Health, Corp. | Current | Accepting new patients | |
| A.P. Community Mental Services, Corp. | Current | Accepting new patients | |
| N.O.R. Community Mental Health, Corp. | Past | Accepting new patients | |
| Servicios Psicologicos Renuevate LLC | Past | Accepting new patients | |
| Continuum Mental Care Corp | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Piedras, PR
- NPI 1306175500
-
- Adult Mental Health Clinic/Center
- Las Piedras, PR
- NPI 1659337699
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fajardo, PR
- NPI 1861656845
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Piedras, PR
- NPI 1871040212
-
- Clinical Psychologist
- Las Piedras, PR
- NPI 1891518189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1053355784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1522",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007711522",
"telephone_number": "787-860-3558",
"fax_number": "787-860-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#55 CALLE DEL CARMEN",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-860-3558",
"fax_number": "787-860-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVENCIA SANABRIA",
"first_name": "JULIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "9364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
- Nova Infusion & Compounding Pharmacy
- Yesenia Nunez, PHARM.D.
- Ohi of Puerto Rico, LLC (Pearle Vision 8742)
- Ohi of Puerto Rico, LLC
- Cristian Jose Oleaga Lopez, PA
- Giuliani Tomas Oliveras Maldonado
- Angel F Olivero, DMD
- Danelly Olivo Figueroa
- Oncology Innovations and Infusions, PSC
- Monica Ondina, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.