Individual provider Active NPI

Luis Olivari, M.D.

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1689603169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
6080 Issued in PR
Practice address
T3-9 Calle Sandalio Alonso
Las Lomas
San Juan, PR 00921-3632
Phone
(787) 273-8053
Fax
(787) 781-4555
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 6080 PR Primary

Addresses

Primary practice location

T3-9 Calle Sandalio Alonso
Las Lomas
San Juan, PR 00921-3632

Mailing address

2000 Carr 8177
Suite 26, PMB 226
Guaynabo, PR 00966-3733
Phone (787) 273-8053

Other identifiers 9

IdentifierTypeStateIssuer
97553OtherPRTRIPLE S, INC. (SSS)
52-06080OtherPRPLAN DE SALUD U.I.A.
600098OtherPRMMM HEALTH CARE
2518OtherPRIMC (FIRST MEDICAL)
9220032OtherPRHUMANA INSURANCE
224062OtherPRPREFERRED HEALTH CARE
066079OtherPRCRUZ AZUL
SE-0548OtherPRPALIC PROVIDER NETWORK
4087OtherPRPMC MEDICARE CHOICE

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
I20090204000369 PR Practitioner - RheumatologyPractitioner - Internal Medicine 4284798349 Practice locations: Guaynabo, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689603169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CARR 8177",
            "address_2": "SUITE 26, PMB 226",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663733",
            "telephone_number": "787-273-8053",
            "fax_number": "787-781-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T3-9 CALLE SANDALIO ALONSO",
            "address_2": "LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213632",
            "telephone_number": "787-273-8053",
            "fax_number": "787-781-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARI",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "6080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, INC. (SSS)",
            "identifier": "97553",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN DE SALUD U.I.A.",
            "identifier": "52-06080",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTH CARE",
            "identifier": "600098",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC (FIRST MEDICAL)",
            "identifier": "2518",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "9220032",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH CARE",
            "identifier": "224062",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "066079",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC PROVIDER NETWORK",
            "identifier": "SE-0548",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC MEDICARE CHOICE",
            "identifier": "4087",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.