Active NPIIndividual providerSole proprietor

Mrs. Olvimar Campos, PA

Physician Assistant in San Juan, Puerto Rico

NPI Number1114831609
Practice location
1507 Ave Ponce De Leon Apt 205, San Juan, PR 00909-2050
Fax
—
Last updated
September 30, 2026

Olvimar Campos is a Physician Assistant based in San Juan, PR. Olvimar Campos practices in San Juan, PR and has the professional credentials of PA. The NPI Number for Olvimar Campos is 1114831609 and holds a License No. 3248 (PR). The current practice location address for Olvimar Campos is 1507 Ave Ponce De Leon Apt 205, San Juan, PR 00909-2050 and can be reached out via phone at 939-475-1414.

Provider Profile Details

NPI Number
1114831609
Provider Name
Olvimar Campos
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1507 Ave Ponce De Leon Apt 205, San Juan, PR 00909-2050
Phone Number
939-475-1414
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2026
Last Update Date
September 30, 2026
Certification Date
September 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1507 Ave Ponce De Leon Apt 205
San Juan, PR 00909-2050
Zip
00909-2050
Phone Number
939-475-1414
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
1509 Ave Ponce De Leon Apt 1445
San Juan, PR 00909-2015
City
San Juan
State
PR
Zip
00909-2015
Phone Number
787-461-4793

License Information

License Number
3248
License State
PR
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Olvimar Campos, PA?

The NPI number of Mrs. Olvimar Campos, PA is 1114831609. It was assigned on September 30, 2026 and is currently active in the NPPES registry.

What is the specialty of Mrs. Olvimar Campos, PA?

Mrs. Olvimar Campos, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PR under license number 3248.

Where does Mrs. Olvimar Campos, PA practice?

The practice location is 1507 Ave Ponce De Leon Apt 205, San Juan, PR 00909-2050. The office can be reached at 939-475-1414 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114831609 directly on the NPPES registry website.

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