Individual provider Active NPI

Oliver Guerrero Dujarric, MD

  • Nephrology Physician
  • Mayaguez, PR
National Provider Identifier
1861598039
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13561 Issued in PR
Practice address
1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042
Phone
(787) 834-5334
Fax
(787) 833-6640
NPI assigned
Sep 15, 2006
Last updated
Aug 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 13561 PR Primary

Addresses

Primary practice location

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042

Mailing address

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042
Phone (787) 834-5334

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
I20041115000862 PR Practitioner - NephrologyPractitioner - Internal Medicine 2163486655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ponce School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nefrologos Asociados del OesteGroup PAC ID 1951297951, 7 clinicians

Practice addresses (Care Compare)

Carr 2 KM
4 Edif San Vicente de Paul 307
San German, PR 00683
Phone (787) 264-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nefrologos Asociados del Oeste Nephrology CurrentSince Aug 6, 2007 Accepting new patients

Locations

1050 Ave Los Corazones
Ste 102
Mayaguez, PR 00680
Phone (787) 834-2185

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1861598039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5334",
            "fax_number": "787-833-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5334",
            "fax_number": "787-833-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO DUJARRIC",
        "first_name": "OLIVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "13561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.