Active NPI
Pedro T. Oliveros Jr., MD
- Physical Medicine & Rehabilitation Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME76859
- Practice address
- 341 N. Maitland Avenue
Suite 200
Maitland, FL 32751-4761 - Phone
- (407) 265-2100
- Fax
- (407) 265-2872
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME76859 | FL | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME 76859 | FL | |
| Physical Therapist | 225100000X | PT4493 | FL |
Addresses
Primary practice location
341 N. Maitland Avenue
Suite 200
Maitland, FL 32751-4761
Mailing address
341 N. Maitland Avenue
Suite 200
Maitland, FL 32751-4761
Phone (407) 265-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
341 N Maitland Ave
Suite 200
Maitland, FL 32751-4761
Phone (407) 647-8500
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 76859 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| PT4493 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedro T Oliveros Jr MD PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Orlando Pain and Medical Rehabilitation Center Aso | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Numed Care PA | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Orlando Pain & Med Rehab Ctr Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
341 N Maitland Ave
Ste 200
Maitland, FL 32751
Phone (407) 265-2100
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Maitland, FL
- NPI 1578784617
-
- Physical Medicine & Rehabilitation Physician
- Maitland, FL
- NPI 1275713802
-
- Physical Medicine & Rehabilitation Physician
- Winter Springs, FL
- NPI 1710088836
-
- Physical Medicine & Rehabilitation Physician
- Altamonte Springs, FL
- NPI 1932200961
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1508966615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 N. MAITLAND AVENUE",
"address_2": "SUITE 200",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514761",
"telephone_number": "407-265-2100",
"fax_number": "407-265-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 N. MAITLAND AVENUE",
"address_2": "SUITE 200",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514761",
"telephone_number": "407-265-2100",
"fax_number": "407-265-2872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEROS",
"first_name": "PEDRO",
"middle_name": "T.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME76859",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "ME 76859",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT4493",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.