Individual provider Active NPI

Milagros Delcarmen Oliviery-Lorenzo, M.D.

  • Psychiatry Physician
  • New Port Richey, FL
National Provider Identifier
1265442016
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
70574-20 Issued in WI
Practice address
8132 King Helie Blvd
New Port Richey, FL 34653-1435
Phone
(724) 834-3959
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 70574-20 WI Primary
Psychiatry Physician 2084P0800X 60540 MN

Addresses

Primary practice location

8132 King Helie Blvd
New Port Richey, FL 34653-1435

Mailing address

PO Box 428
New Port Richey, FL 34656-0428
Phone (727) 841-4200

Other identifiers 1

IdentifierTypeStateIssuer
263157100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20181018000834 WI Practitioner - Psychiatry 1456486174 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60540MNMDPsychiatry Physician
70574-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calumet County CurrentSince Feb 23, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Apr 23, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Apr 23, 2020 Accepting new patients
Calumet County CurrentSince Feb 23, 2023 Accepting new patients
Baycare Behavioral Health Centers, Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

206 Court St
Chilton, WI 53014
Phone (920) 849-1400

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1265442016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346560428",
            "telephone_number": "727-841-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 KING HELIE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531435",
            "telephone_number": "724-834-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIERY-LORENZO",
        "first_name": "MILAGROS",
        "middle_name": "DELCARMEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "70574-20",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "60540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263157100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.