Individual provider Active NPI

Carlos Laboy-Olivieri, MD

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1407080856
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18384 Issued in PR
Practice address
8050 Cond San Juan Chalets
Street 844 KM 1.2
San Juan, PR 00926-9885
Phone
(787) 613-7725
NPI assigned
May 13, 2009
Last updated
Aug 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18384 PR Primary

Addresses

Primary practice location

8050 Cond San Juan Chalets
Street 844 KM 1.2
San Juan, PR 00926-9885

Mailing address

PO Box 801027
Coto Laurel, PR 00780-1027
Phone (787) 613-7725

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
I20150723009389 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 1052624723 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ponce School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 Ave Jose de Diego
Arecibo, PR 00612-4779
Phone (787) 650-1030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy365
Upper gastrointestinal (GI) endoscopy for acid reflux374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18384PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gi Solutions LLC Gastroenterology CurrentSince Jan 15, 2021 Accepting new patients
Dr Susoni Health Community Services Corp Past Accepting new patients

Locations

153 Ave Jose de Diego
Ofc
Arecibo, PR 00612
Phone (267) 624-3578

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1407080856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801027",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801027",
            "telephone_number": "787-613-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 COND SAN JUAN CHALETS",
            "address_2": "STREET 844 KM 1.2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269885",
            "telephone_number": "787-613-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY-OLIVIERI",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "18384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.