Suleyka Milagros Olivero-Rivera
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Ponce, PR
NPI 1124312657 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1124312657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- 18668 (PR)
- Practice address
- Hospital San Lucas
Ponce, PR 00716 - Phone
- (787) 844-2078
- Fax
- (787) 844-2545
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arrhythmia Group LLC
Practice addresses (Care Compare)
2703 Calle El Monte
Ponce, PR 00716
619 Ave San Luis
Arecibo, PR 00612-3637
Phone (939) 305-7680
Hospital & facility affiliations
- Bayamon Medical Center
- Hospital Pavia Arecibo
- Hospital Metropolitano Dr Susoni
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 43 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210521001986 | PR | Practitioner - Cardiac Electrophysiology |
5193051159 |
Reassigns benefits to 1 organization Practice locations: Bayamon, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18,668 | PR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrhythmia Group LLC | Clinical Cardiac Electrophysiology | Current |
Accepting new patients |
| PC2M LLC | Cardiovascular Disease | Past |
Accepting new patients |
Locations
917 Ave Tito Castro
#20076
Ponce, PR 00716
Phone (787) 692-3029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 18,668 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 18668 | PR | Yes |
Addresses
Primary practice location
Hospital San Lucas
Ponce, PR 00716
Mailing address
PO Box 800068
Ponce, PR 00780-0068
Phone (787) 844-2078
Other practice location 1
Hospital San Lucas
Ponce, PR 00716
Phone (787) 844-2078
Other providers in Ponce, PR
- Jofgrek Oliveras Gotay
- Rafael Efrain Oliveras-Rentas
- Adriana Oliveras
- Ana M Oliveras
- David Oliveras
- Odette Olivieri
- Gabriela Juliette Olmedo Vega I
- Rafael L Oms Rivera
- Sebastian Ongay Torres
- Open Care Wellness Center Ponce
All providers in Ponce, PR · Clinical Cardiac Electrophysiology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.