Individual provider Active NPI

Carlos Jose Olivares Almanzar, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1346641305
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21379 Issued in PR
Practice address
29 Calle Washington Ste 207
San Juan, PR 00907-1509
Phone
(787) 722-1104
NPI assigned
Sep 9, 2014
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21379 PR Primary

Addresses

Primary practice location

29 Calle Washington Ste 207
San Juan, PR 00907-1509

Mailing address

29 Calle Washington
Ste 207
San Juan, PR 00907-1509
Phone (787) 722-1104

Other practice location 1

907 Calle Porto Venecia
Urb. Portobello
Toa Alta, PR 00953-5400
Phone (787) 354-1828

Other practice location 2

Centro Medico Barrio Monacillos
Ave. Americo Miranda
San Juan, PR 00921
Phone (787) 754-0101

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
I20191008000919 PR Practitioner - Obstetrics/Gynecology 1557692472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castaner and Pou LLCGroup PAC ID 6709148216, 3 clinicians

Practice addresses (Care Compare)

29 Washington St Ashford Medical
Suite 206
San Juan, PR 00907-1509
Phone (787) 722-1104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21379PRMDObstetrics & Gynecology Physician

Organizations & group practices 1

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1346641305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "STE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071509",
            "telephone_number": "787-722-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON STE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071509",
            "telephone_number": "787-722-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Calle Porto Venecia",
            "address_2": "Urb. Portobello",
            "address_purpose": "LOCATION",
            "city": "Toa Alta",
            "state": "PR",
            "postal_code": "009535400",
            "country_code": "US",
            "telephone_number": "787-354-1828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Centro Medico Barrio Monacillos",
            "address_2": "Ave. Americo Miranda",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00921",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVARES ALMANZAR",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "21379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.