Active NPI
Charles Hiram Olivera, M.D.
- Neurology Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 12570
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7170 - Phone
- (928) 336-4577
- NPI assigned
- Aug 18, 2006
- Last updated
- Jan 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | DR.0059010 | CO | |
| Neurology Physician | 2084N0400X | 37868 | AZ | |
| Neurology Physician | 2084N0400X | ME 73103 | FL | |
| Neurology Physician | 2084N0400X | P4796 | TX | |
| Neurology Physician | 2084N0400X | 12570 | PR | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7170
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37868 | AZ | MD | Neurology Physician |
| ME 73103 | FL | MD | Neurology Physician |
| P4796 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Christian L Koppel MD PA | Past | Accepting new patients | |
| Florida Anesthesia Associates P a | Past | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
Interoperability endpoints
- charles.olivera@hca5.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
dba Red Medica Hima San Pablo
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
-
dba Onvida Health Yuma Medical Center
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
dba Nova Infusion
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1457623514
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1740264118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1457465528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "928-344-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "928-336-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "CHARLES",
"middle_name": "HIRAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "DR.0059010",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "37868",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME 73103",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "P4796",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "12570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.