Individual provider Active NPI

Carlos A Key Oyola Sr., M.D.

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1821073065
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7965 Issued in PR
Practice address
PMB 423 1357 Ashford Avenue
Suite 2
San Juan, PR 00907-1420
Phone
(787) 725-7860
Fax
(787) 722-3630
NPI assigned
Dec 9, 2005
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7965 PR Primary

Addresses

Primary practice location

PMB 423 1357 Ashford Avenue
Suite 2
San Juan, PR 00907-1420

Mailing address

1451 Ashford
Suite 2
San Juan, PR 00907-1511
Phone (787) 725-7860

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
I20040416001108 PR Practitioner - Anesthesiology 2567457815

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7965PRMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1821073065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ASHFORD",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-725-7860",
            "fax_number": "787-722-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 423 1357 ASHFORD AVENUE",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071420",
            "telephone_number": "787-725-7860",
            "fax_number": "787-722-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY OYOLA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "7965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.