Individual provider Active NPI

Pedro Oyola Nieves, M.D.

  • Psychiatry Physician
  • Bayamon, PR
National Provider Identifier
1801861539
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6157 Issued in PR
Practice address
73 Edificio Medico Santa Cruz
Calle Santa Cruz Suite 416
Bayamon, PR 00959-0000
Phone
(787) 786-7460
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6157 PR Primary

Addresses

Primary practice location

73 Edificio Medico Santa Cruz
Calle Santa Cruz Suite 416
Bayamon, PR 00959-0000

Mailing address

PMB 170 Forest Hills
A8 Calle Marginal
Bayamon, PR 00959-0000
Phone (787) 399-0884

Other identifiers 1

IdentifierTypeStateIssuer
38628900MedicaidPR

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
I20041117000836 PR Practitioner - Psychiatry 6608830724 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

73 Calle Santa Cruz
Bayamon, PR 00961-6910
Phone (787) 786-7460

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1801861539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 170 FOREST HILLS",
            "address_2": "A8 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-399-0884",
            "fax_number": "787-786-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 EDIFICIO MEDICO SANTA CRUZ",
            "address_2": "CALLE SANTA CRUZ SUITE 416",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-786-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYOLA NIEVES",
        "first_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "6157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38628900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.