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

Sex

Female

Sole proprietor

Yes

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

• Metro Santurce, Inc.

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

  Hospital

  Care Compare affiliation

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 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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "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

• All providers in San Juan, PR
• 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.