Juan Olivares Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N9617 Issued in TX

Practice address

5808 Airline Dr
Houston, TX 77076-4923

Phone

(713) 695-4013

NPI assigned

Jun 17, 2011

Last updated

Mar 12, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston Community Health Centers Inc

  dba Denver Harbor Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1093780280
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1730474735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 RICHMOND AVE APT 359",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770463604",
            "telephone_number": "214-280-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764923",
            "telephone_number": "713-695-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Enrique Oliva, DC
• Kolby Hannah Oliva, PT, DPT
• Twyla Renee Oliva, LCSW
• Elizabeth Olivares-Reed
• Alexis A Olivares, RN
• Angelica C Olivarez
• Christina Olivarez
• Jessica Marie Olivarez, FNP-C
• Kimberly Hunter Olivarez
• Madison Rae Olivarez, DC, ATC

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.

Verify at the official NPI Registry.