NPIMap

Organization Active NPI

Ernestina Pelayo de Olivares MD PLLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1528293909
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
31109 Issued in AZ
Legal business name
ERNESTINA PELAYO DE OLIVARES MD PLLC
Practice address
5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898
Phone
(520) 742-9166
Fax
(520) 742-9146
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Ernestina Pelayo de Olivares, M.D.
Title
President/Owner
Phone
(520) 742-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 31109 AZ Primary

Addresses

Primary practice location

5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898

Mailing address

5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898
Phone (520) 742-9166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1528293909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043898",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043898",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTINA PELAYO DE OLIVARES MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "PELAYO DE OLIVARES",
        "authorized_official_first_name": "ERNESTINA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "520-742-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "31109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.