Individual provider Active NPI

Mirtha Sanchez Ovalle, M.D.

  • Legal Medicine
  • San Juan, PR
National Provider Identifier
1528009404
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
12537 Issued in PR
Practice address
714 Calle Durazno
Caparra Terrace
San Juan, PR 00920-5011
Phone
(787) 646-1353
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 12537 PR Primary

Addresses

Primary practice location

714 Calle Durazno
Caparra Terrace
San Juan, PR 00920-5011

Mailing address

714 Calle Durazno
Caparra Terrace
San Juan, PR 00920-5011
Phone (787) 646-1353

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
I20110510000193 PR Practitioner - General Practice 1951587922 Reassigns benefits to 1 organization
Practice locations: Catano, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carretera PR 5 KM
8 Edificio Job Andujar
Catano, PR 00963-0428
Phone (787) 485-5512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12537PRMDLegal Medicine

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1528009404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 CALLE DURAZNO",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205011",
            "telephone_number": "787-646-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CALLE DURAZNO",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205011",
            "telephone_number": "787-646-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ OVALLE",
        "first_name": "MIRTHA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "12537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.