Active NPI
Olga D Rivera Orellano
- General Practice Physician
- San Juan, PR
National Provider Identifier
1598843534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16551
- Practice address
- 2020 Ave Borinquen
San Juan, PR 00915-3822 - Phone
- (787) 268-4171
- Fax
- (787) 727-3695
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16551 | PR | Primary |
Addresses
Primary practice location
2020 Ave Borinquen
San Juan, PR 00915-3822
Mailing address
Street 12 L-4 Santa Juana II
Caguas, PR 00725
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Foundation of Puerto Rico, Inc. | General Practice | Current | Accepting new patients |
| HPM Foundation Inc | Current | Accepting new patients | |
| Concilio de Salud Integral de Loiza, Inc. | General Practice | Current | Accepting new patients |
| Community Health Foundation of Puerto Rico, Inc. | Current | Accepting new patients |
Locations
2020 Ave Borinquen
Santurce, PR 00915
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1881016020
General Practice
-
- Federally Qualified Health Center (FQHC)
- Loiza, PR
- NPI 1558664102
General Practice
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1316167661
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayamon, PR
- NPI 1114626991
-
- Federally Qualified Health Center (FQHC)
- Culebra, PR
- NPI 1396965679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1598843534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET 12 L-4 SANTA JUANA II",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 AVE BORINQUEN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009153822",
"telephone_number": "787-268-4171",
"fax_number": "787-727-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA ORELLANO",
"first_name": "OLGA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.