Abiodun Abayomi Odeleye, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

16408 Issued in PR

Practice address

La Palma Building, Peral14- 1G
Peral & Diego Streets
Mayaguez, PR 00680-4905

Phone

(787) 832-6900

Fax

(787) 832-6902

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699894550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA PALMA BUILDING, PERAL14- 1G",
            "address_2": "PERAL & DIEGO STREETS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804905",
            "telephone_number": "787-832-6900",
            "fax_number": "787-832-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA PALMA BUILDING, PERAL14- 1G",
            "address_2": "PERAL & DIEGO STREETS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804905",
            "telephone_number": "787-832-6900",
            "fax_number": "787-832-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELEYE",
        "first_name": "ABIODUN",
        "middle_name": "ABAYOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "16408",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "DE",
            "license": "C10007539",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME9374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutricare Enteral Alimentation, Inc. (Nutri Care & Home Medical Supply)
• O & M Enterprises Inc (Laboratorio Clinico Ramos)
• Jorge Enrique Oben Martinez, M.D.
• Yolanda Ocasio Marin, ADMINISTRATOR
• Iris N. Ocasio, CSW
• Oficina Dental Dr. Raul F. Cordero C.S.P.
• Oficina Medica Dr. Luis J. Suau, CSP
• Juan Andres Oharriz Vina
• Winston Ojeda-Laracuente, M.D.
• Mario Luis Olivencia Malave, M.D

• Anatomic Pathology & Clinical Pathology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.