Individual provider Active NPI

Brian Jomar Olivo Marti, MD

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1104734680
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17768-I Issued in PR
Practice address
Ee20 Calle Jose Campeche
Cabo Rojo, PR 00623-3365
Phone
(787) 233-8840
NPI assigned
Aug 27, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17768-I PR Primary

Addresses

Primary practice location

Ee20 Calle Jose Campeche
Cabo Rojo, PR 00623-3365

Mailing address

Ee20 Calle Jose Campeche
Cabo Rojo, PR 00623-3365
Phone (787) 233-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1104734680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EE20 CALLE JOSE CAMPECHE",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233365",
            "telephone_number": "787-233-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EE20 CALLE JOSE CAMPECHE",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233365",
            "telephone_number": "787-233-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO MARTI",
        "first_name": "BRIAN",
        "middle_name": "JOMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17768-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.