Carlos A Rodriguez Olivencia, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12243 Issued in PR

Practice address

Calle Santa Cruz 77
Hospital Hima San Plablo
Bayamon, PR 00961-7003

Phone

(787) 620-4747

NPI assigned

Jun 2, 2006

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

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

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Am Acquisition I, LLC

  dba Hospital Auxilio Mutuo San Pablo

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  NPD (past)
• Bayamon Internal Medicine Group

  • Internal Medicine Physician
  • Bayamon, PR
  • NPI 1720186836
  NPD (past)

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

• Am Acquisition I, LLC

  dba Hospital Auxilio Mutuo San Pablo

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1245277565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE JOGLAR 1",
            "address_2": "URB HERMANAS DAVILAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ 77",
            "address_2": "HOSPITAL HIMA SAN PLABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617003",
            "telephone_number": "787-620-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ OLIVENCIA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca I. Rodriguez Lopez, M.D.
• Nydia Ivette Rodriguez Lugo, PHARMD
• David Rodriguez Martinez
• Jennifer Rodriguez Matias, MS
• Remi Rodriguez Nieves, P.A.
• Luis Daniel Rodriguez Ortiz, M.C.; M.H.C.; L.P.C.
• Sally J Rodriguez Otero
• Rosa Rodriguez Pagan, CSW
• Gloria Milagros Rodriguez Ponsa, DMD
• Antonio Rodriguez Posada, PH.D.

• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.