Individual provider Active NPI

Eduardo Nieves-Olabarrieta, M.D.

  • Internal Medicine Physician
  • Rio Grande, PR
National Provider Identifier
1932526837
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19742 Issued in PR
Practice address
L2 Calle 6
Rio Grande, PR 00745-2825
Phone
(787) 888-8888
NPI assigned
Mar 28, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19742 PR Primary

Addresses

Primary practice location

L2 Calle 6
Rio Grande, PR 00745-2825

Mailing address

Mamey 80, Milaville
San Juan, PR 00926
Phone (787) 209-2686

Other practice location 1

University District Hospital
BO. Monacillos
San Juan, PR 00935-0001
Phone (787) 758-2525 ext. 1828

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
I20171109000608 PR Practitioner - Internal Medicine 6305102203 Practice locations: Rio Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

L2 Calle
Suite 6
Rio Grande, PR 00745-2825
Phone (787) 888-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19742PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932526837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAMEY 80, MILAVILLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-209-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L2 CALLE 6",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452825",
            "telephone_number": "787-888-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital",
            "address_2": "BO. Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-758-2525 x1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES-OLABARRIETA",
        "first_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

Verify at the official NPI Registry.