Individual provider Active NPI

Jazmin Esther Oliva, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, PR
National Provider Identifier
1346400710
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1265 Issued in PR
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

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1265PRMDCounseling 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.

Verify at the official NPI Registry.