Individual provider Active NPI

Ricardo Manuel Olazabal, M.D.

  • Specialist
  • Hato Rey, PR
National Provider Identifier
1275642985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12674 Issued in PR
Practice address
Somascan, Jose Marti Street #56
Floral Park
Hato Rey, PR 00918
Phone
(787) 759-7878
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12674 PR Primary

Addresses

Primary practice location

Somascan, Jose Marti Street #56
Floral Park
Hato Rey, PR 00918

Mailing address

Arturo Rivera Street # C-6
Garden Hills
Guaynabo, PR 00966
Phone (787) 529-0656

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141007000789 PR Practitioner - Diagnostic Radiology 7214092352 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Patricio MRI and CT Center, P.S.C.Group PAC ID 9436251808, 6 clinicians

Practice addresses (Care Compare)

280 Ave Marginal Kennedy
Guaynabo, PR 00968-1746
Phone (787) 620-5772

280 Marginal Kennedy
Guaynabo, PR 00968-1746

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Patricio MRI & CT Center, P.S.C. CurrentSince Feb 1, 2020 Accepting new patients
Signet Puerto Rico CurrentSince Mar 20, 2014 Accepting new patients
Instituto Central de Diagnostico Inc Past Accepting new patients

Locations

280 Ave Marginal Kennedy
Guaynabo, PR 00968
Phone (787) 620-5757

1448 Ave Fernandez Juncos
Santurce, PR 00909
Phone (787) 721-7776

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275642985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARTURO RIVERA STREET # C-6",
            "address_2": "GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-529-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOMASCAN, JOSE MARTI STREET #56",
            "address_2": "FLORAL PARK",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-759-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAZABAL",
        "first_name": "RICARDO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.