Yaimi Oller Mizrahi, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19638 Issued in PR

Practice address

1014 Calle 17 SE Metropolitano
San Juan, PR 00921-3115

Phone

(939) 286-0800

NPI assigned

May 16, 2017

Last updated

Jul 21, 2022By 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

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

Specialty

Emergency Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982131454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 CALLE 17 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213115",
            "telephone_number": "939-286-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 CALLE 17 SE METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213115",
            "telephone_number": "939-286-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLER MIZRAHI",
        "first_name": "YAIMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Olivo Morales
• Yanpol Olivo Perez
• Ariana Gabriela Olivo Ramirez
• Nestor L. Olivo-Crespo, M.D.
• Jose Rafael Oller Lopez, MD
• Ian Olmeda Lopez
• Geraldo Rafael Olmeda, PHARMD
• Neftali Olmeda, MD
• Carmen L Olmedo, MSW
• Luis N Olmedo, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.