Olvimar Campos, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3248 Issued in PR

Practice address

1507 Ave Ponce de Leon Apt 205
San Juan, PR 00909-2050

Phone

(939) 475-1414

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1114831609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 AVE PONCE DE LEON APT 1445",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092015",
            "telephone_number": "787-461-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON APT 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092050",
            "telephone_number": "939-475-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "OLVIMAR",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Campos Rivera, MD
• Lismary Campos-Padilla, PHARMD
• Edgar Campos, PHD
• Jessiemar Campos
• Miguel Campos
• Salvador Campos Sr.
• Claudia Camunas Perez, MD
• Angelica M Canabal
• Elda Marie Canabal, MSA
• Dialma Iris Canales, M.D.

• Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.