Vanessa Olivo Echavarry, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

10960 Issued in PR

Practice address

Torre de Auxilio Mutuo 735 Ponce de Leon
Suite 207
San Juan, PR 00917-5024

Phone

(787) 767-0655

Fax

(787) 767-0655

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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.

• Bryan Internal Medicine LLC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1386418945
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcvaneoli@yourcarecommunity.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164556361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE DE AUXILIO 735 PONCE DE LEON",
            "address_2": "SUITE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175024",
            "telephone_number": "787-767-0655",
            "fax_number": "787-767-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DE AUXILIO MUTUO 735 PONCE DE LEON",
            "address_2": "SUITE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175024",
            "telephone_number": "787-767-0655",
            "fax_number": "787-767-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO ECHAVARRY",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "10960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "83300",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "069980",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "8000673",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "8473",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizmarie Olivero Santiago
• Carolina Isabel Olivero Vizcarrondo
• Elvin Olivero, MD
• Nancy Olivero, RDN
• Vilma N Olivieri-Beauchamp, M.D.
• Steven Olivo Morales
• Yanpol Olivo Perez
• Ariana Gabriela Olivo Ramirez
• Nestor L. Olivo-Crespo, M.D.
• Jose Rafael Oller Lopez, MD

• All providers in San Juan, PR
• Infectious Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.