Individual provider Active NPI

Natalie Cordero Olavarria

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1952961187
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21428 Issued in PR
Practice address
2020 Ave Borinquen
San Juan, PR 00915-3822
Phone
(787) 268-4171
NPI assigned
Jun 19, 2019
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21428 PR Primary

Addresses

Primary practice location

2020 Ave Borinquen
San Juan, PR 00915-3822

Mailing address

2020 Ave Borinquen
San Juan, PR 00915-3822
Phone (787) 268-4171

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
I20200422000103 PR Practitioner - General Practice 3870923410 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Dec 19, 2025 Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1952961187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153822",
            "telephone_number": "787-268-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153822",
            "telephone_number": "787-268-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO OLAVARRIA",
        "first_name": "NATALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.