Active NPI
Jazmin Esther Oliva, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Juan, PR
National Provider Identifier
1346400710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1265
- Practice address
- Upr School of Dental Medicine RCM
Suite B 130 C Terrenos de Ciencias Medicas
San Juan, PR 00935-0001 - Phone
- (787) 758-2525
- Fax
- (787) 765-5986
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1265 | PR | Primary |
Addresses
Primary practice location
Upr School of Dental Medicine RCM
Suite B 130 C Terrenos de Ciencias Medicas
San Juan, PR 00935-0001
Mailing address
497 Ave Emiliano Pol
Box 206 la Cumbre
San Juan, PR 00926-5602
Phone (787) 758-2525
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 |
|---|---|---|---|
| 1265 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1346400710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 AVE EMILIANO POL",
"address_2": "BOX 206 LA CUMBRE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265602",
"telephone_number": "787-758-2525",
"fax_number": "787-765-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UPR SCHOOL OF DENTAL MEDICINE RCM",
"address_2": "SUITE B 130 C TERRENOS DE CIENCIAS MEDICAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-758-2525",
"fax_number": "787-765-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVA",
"first_name": "JAZMIN",
"middle_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PR",
"license": "1265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.