Organization Active NPI

CDT Dr Oliveras Guerra

  • State or Local Public Health Clinic/Center
  • San Juan, PR
National Provider Identifier
1750594339
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CDT DR OLIVERAS GUERRA
Practice address
Calle 8 Esq 45 Parcelas Falu Rio Piedras
San Juan, PR 00924
Phone
(787) 480-5131
NPI assigned
May 8, 2007
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Mrs. Sylvette Llovet, LIC
Title
Administrator
Phone
(787) 480-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

Calle 8 Esq 45 Parcelas Falu Rio Piedras
San Juan, PR 00924

Mailing address

PO Box 21405
San Juan, PR 00928-1405
Phone (787) 480-3876

Other identifiers 16

IdentifierTypeStateIssuer
=========OtherPRCIGNA EXCLUSIVE Y PREFERR
030365OtherPRCRUZ AZUL
7713OtherPRFIRST MEDICAL
=========OtherPRMAPHRE HEALTH Y MEDADV
=========OtherPRAMERICAN HEALTH
10222CDOtherPRTRIPLE S TODOS
9240075OtherPRHUMANA TODOS
=========OtherPRMCS CLASSICARE Y LIFE
=========OtherPRGOLDEN CROSS
1144OtherPRPROSAM
600204OtherPRUTI
=========OtherPRPAN AMERICAN
1001078OtherPRACCA
66042700GMedicaidPR
=========OtherPRTRYCARE
=========MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000215 PR Part A Provider - Hospital 5597711945 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750594339. Details of each certification follow.

Hospital certification: CCN 400015

Legal name
MUNICIPALITY OF SAN JUAN PR
Doing business as
SAN JUAN MUNICIPALITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 1, 2023
Beds
450
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
Bo Monacillos Centro Medico Rio Piedras
San Juan, PR 926
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
San Juan Municipality HospitalCCN 400015 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Luis V Clas Individual Corporate Officer Jan 11, 2021
Corporate Director Jan 11, 2021
W-2 Managing Employee Jan 11, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 20

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1750594339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281405",
            "telephone_number": "787-480-3876",
            "fax_number": "787-764-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 8 ESQ 45 PARCELAS FALU RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-480-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DR OLIVERAS GUERRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "LLOVET",
        "authorized_official_first_name": "SYLVETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-480-5131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIC"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA EXCLUSIVE Y PREFERR",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "030365",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "7713",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPHRE HEALTH Y MEDADV",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S TODOS",
            "identifier": "10222CD",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA TODOS",
            "identifier": "9240075",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS CLASSICARE Y LIFE",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN CROSS",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSAM",
            "identifier": "1144",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "600204",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCA",
            "identifier": "1001078",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66042700G",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRYCARE",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.