Active NPI
Aida Mirta Olivo
- Pharmacist
National Provider Identifier
1326686106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4096
- Practice address
- Calle Progreso 258
Aguadilla, PUERTO RICO 00603 - Phone
- (787) 891-2015
- NPI assigned
- Dec 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4096 | PR | Primary |
Addresses
Primary practice location
Calle Progreso 258
Aguadilla, PUERTO RICO 00603
Mailing address
HC 57 Box 15602
Aguada, PUERTO RICO 00602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4096 | PR | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia del Carmen | Past | Accepting new patients | |
| Go Enterprise LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Aguadilla, PR
- NPI 1730576984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1326686106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 15602",
"city": "AGUADA",
"state": "PUERTO RICO",
"postal_code": "00602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PROGRESO 258",
"city": "AGUADILLA",
"state": "PUERTO RICO",
"postal_code": "00603",
"telephone_number": "787-891-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVO",
"first_name": "AIDA",
"middle_name": "MIRTA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2022-10-28",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.