Luis Javier Olivera-Rodriguez, MD, MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME129300 Issued in FL

Practice address

6001 Vineland Rd Ste 109
Orlando, FL 32819-7829

Phone

(407) 930-6684

Fax

(949) 404-8433

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

Psychiatry

Education

University of Puerto Rico School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lumos Psychiatric Services LLC

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1730733254
  Medicare reassignment NPD Authorized official
• Carrousel Therapy Center Corporation

  • Forensic Psychiatry Physician
  • Kissimmee, FL
  • NPI 1023304128
  Medicare reassignment NPD
• Mindful Integrated Medicine LLC

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1831544832
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1487919932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-930-6684",
            "fax_number": "949-404-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-930-6684",
            "fax_number": "949-404-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERA-RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "JAVIER",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19342",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME129300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018302900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alissa Margaret Oliver, LCSW
• Elana Oliver, D.M.D.
• Jenisha Keiana Oliver, CRNA
• Lianne Renee Oliver, CRNA
• Oliver'S Branch Transportation
• Laura Olivera
• Wilberto Olivera, PA-C
• Lyzette Oliveras
• Maribel Oliveras
• Ana Belkis Oliveros Amaro, FNP

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.

Verify at the official NPI Registry.