Individual provider Active NPI

Roselyn Martinez Olivieri, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Guaynabo, PR
National Provider Identifier
1356451736
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
13354 Issued in PR
Practice address
Santa Maria Shopping Center
Carretera 177 Local a-11(B)
Guaynabo, PR 00970-0000
Phone
(787) 604-9123
NPI assigned
Aug 30, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 13354 PR Primary

Addresses

Primary practice location

Santa Maria Shopping Center
Carretera 177 Local a-11(B)
Guaynabo, PR 00970-0000

Mailing address

PMB 608
Calle Sierra Morena #267
San Juan, PR 00926-0000
Phone (787) 604-9123

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
I20110811000487 PR Practitioner - Internal Medicine 9335318187 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Santa Maria Shopping Ctr Local 11
Ave Los Filtros Carr 177
Guaynabo, PR 00966
Phone (787) 708-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13354PRMDAdolescent Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1356451736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 608",
            "address_2": "CALLE SIERRA MORENA #267",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-604-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA MARIA SHOPPING CENTER",
            "address_2": "CARRETERA 177 LOCAL A-11(B)",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700000",
            "telephone_number": "787-604-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ OLIVIERI",
        "first_name": "ROSELYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "PR",
            "license": "13354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.