Individual provider Active NPI

Ramon A Seneriz Olivencia, MD

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1053796052
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
019581 Issued in PR
Practice address
425 NG Ave. Luis Munoz Rivera, Cii Padre Las Casa
San Juan, PR 00918
Phone
(787) 564-1121
NPI assigned
Jul 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 019581 PR Primary
Internal Medicine Physician 207R00000X 019581 PR

Addresses

Primary practice location

425 NG Ave. Luis Munoz Rivera, Cii Padre Las Casa
San Juan, PR 00918

Mailing address

PO Box 360488
San Juan, PR 00936-0488
Phone (787) 564-1121

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 243-2201

Other practice location 2

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 12690

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308001092 PR Practitioner - NephrologyPractitioner - Internal Medicine 0143627612 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR; Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
San Juan Bautista School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 167 KM
2 Plaza Tropical Shopping Center
Bayamon, PR 00956
Phone (787) 564-1121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019581PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince Apr 1, 2024 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Apr 1, 2024 Accepting new patients

Locations

351 Ave Hostos
Ste 101
Mayaguez, PR 00680
Phone (787) 834-5445

525 Ave Franklin D Roosevelt
Ofc 711
San Juan, PR 00918
Phone (787) 547-6355

Interoperability endpoints

  • Direct secure messaging: ramon.senerizolivencia.p1@direct.vitacare.nextgenshare.com
  • Direct secure messaging: rseneriz64439@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: gabriel.torresrivera.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1053796052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360488",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360488",
            "telephone_number": "787-564-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NG AVE. LUIS MUNOZ RIVERA, CII PADRE LAS CASA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-564-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-243-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582 x12690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENERIZ OLIVENCIA",
        "first_name": "RAMON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "019581",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "019581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.