Raul Octaviani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

005538 Issued in PR

Practice address

St Casia #10
VA Medical Center
San Juan, PR 00921-3200

Phone

(787) 641-7582

NPI assigned

Jul 9, 2008

Last updated

Sep 26, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1538322474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B23 CALLE ADAMS",
            "address_2": "URB. PARKVILLE SUR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694404",
            "telephone_number": "787-643-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST CASIA #10",
            "address_2": "VA MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCTAVIANI",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "41716",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "005538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Ocasio
• Richard Ocasio, BSN
• Occumed Health Specialist (Occumed Health Services)
• Oceanic Wellness Center LLC
• Ocg Dermatology LLC
• Alejandro Yamil Odeh Couvertier
• Eric Fernando Odiot, M.D.
• Odisseo Investment Group Corporation
• Odontologia General Y Pediatrica
• Odontologia General Y Pediatrica

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.