Marisol Oliveras Vega, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19855 Issued in PR

Practice address

237 Ave Los Veteranos
Lajas, PR 00667-2509

Phone

(787) 899-3442

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• J&M Primary Care Physicians PSC

  • General Practice Physician
  • Lajas, PR
  • NPI 1720555428
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1427559525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I16 CALLE 2",
            "address_2": "REPARTO UNIVERSIDAD",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-538-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 AVE LOS VETERANOS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672509",
            "telephone_number": "787-899-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS VEGA",
        "first_name": "MARISOL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josean Anastacio Nieto Ruiz, MSW
• Norman Gonzalez Casiano CSP
• Juan Luis Ocasio Rodriguez, MD
• Ocean Dental Care LLC
• Ocean Dental, Inc.
• Opti-Vision Center
• Wailani Ortiz Ortiz
• Veronica Ortiz Rodriguez, M.D.
• Derek Israel Ortiz, PH.D.
• Omar Elyth Ortiz

• General Practice Physician in Lajas, PR
• Providers in Lajas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.