Lynette I Oliver, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

137613 Issued in NY

Practice address

3205 Ave Isla Verde
Galaxy Condominium Apt. 802
Carolina, PR 00979-4924

Phone

(787) 268-7632

Fax

(787) 268-7632

NPI assigned

May 17, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lafountain Emergency Physicians LLC

  • Emergency Medicine Physician
  • Kokomo, IN
  • NPI 1003180407
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1316485600
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1629182100
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265484307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 AVE ISLA VERDE",
            "address_2": "GALAXY CONDOMINIUM APT. 802",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794924",
            "telephone_number": "787-268-7632",
            "fax_number": "787-268-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 AVE ISLA VERDE",
            "address_2": "GALAXY CONDOMINIUM APT. 802",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794924",
            "telephone_number": "787-268-7632",
            "fax_number": "787-268-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LYNETTE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "137613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK  LICENSE",
            "identifier": "137613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "038377",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "015199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "6404",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohi of Puerto Rico, LLC
• Rosa M. Ojeda Annexy, O.D.
• Ojos de Puerto Rico, Inc CSP
• Maritere Olascoaga-Torres, MD
• Alexandra Marie Olivencia Torres
• Juan Andres Olivero, MSW
• Mariely Olivero, LND, MHSN
• Carolina Olson
• Oneheart, LLC
• Crystal Angelica Oneill Arroyo, PHARMD

• Emergency Medicine Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.