Maria E Medina Oliveras, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17335 Issued in PR

Practice address

Carr. 164 KM. 14.2
Bo. Palmarejo
Corozal, PR 00783

Phone

(787) 427-8931

NPI assigned

Sep 16, 2008

Last updated

Sep 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Instituto Medico del Norte Inc

  dba Centro Medico Wilma N Vazquez

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169
  Medicare reassignment NPD
• Instituto Medico del Norte Inc

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1225802606
  NPD
• Vega Alta Community Health

  • Clinical Medical Laboratory
  • Vega Alta, PR
  • NPI 1952338154
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1972752871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 304 PO BOX 94 000",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-427-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 164 KM. 14.2",
            "address_2": "BO. PALMAREJO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-427-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA OLIVERAS",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17335",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Yamil Martinez
• MD Radiological Services, PSC
• MD Radiology Services PSC (Centro Medico Profesional de la Salud)
• Medfreh PSC
• Amarilis Mediavilla
• Jose F Medina, MD
• Mercado Health LLC
• Adalberto Molina, OD
• Yamil Morales Garcia, OTA/L
• Ashley Ann Morales Rivera, DC

• General Practice Physician in Corozal, PR
• Providers in Corozal, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.