Active NPIIndividual providerSole proprietor

Dr. Mario L Olivencia Malave, MD

General Practice in Mayaguez, Puerto Rico

NPI Number1770837320
Practice location
55 Calle De Diego E Ste 401, Mayaguez, PR 00680-5081
Fax
—
Last updated
July 18, 2017

Mario Luis Olivencia Malave is a General Practice based in Mayaguez, PR. Mario Luis Olivencia Malave practices in Mayaguez, PR and has the professional credentials of MD. The NPI Number for Mario Luis Olivencia Malave is 1770837320 and holds a License No. 20164 (PR). The current practice location address for Mario Luis Olivencia Malave is 55 Calle De Diego E Ste 401, Mayaguez, PR 00680-5081 and can be reached out via phone at 787-487-7866.

Provider Profile Details

NPI Number
1770837320
Provider Name
Mario Luis Olivencia Malave
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Calle De Diego E Ste 401, Mayaguez, PR 00680-5081
Phone Number
787-487-7866
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2012
Last Update Date
July 18, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Calle De Diego E Ste 401
Mayaguez, PR 00680-5081
Zip
00680-5081
Phone Number
787-487-7866
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Cpr Profesional Building 65 De Diego E.suite Ste. 401
Mayaguez, PR 00680-8501
City
Mayaguez
State
PR
Zip
00680-8501
Phone Number
787-805-1032

License Information

License Number
20164
License State
PR
Taxonomy
General Practice · 208D00000X · 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 Dr. Mario L Olivencia Malave, MD?

The NPI number of Dr. Mario L Olivencia Malave, MD is 1770837320. It was assigned on November 5, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Mario L Olivencia Malave, MD?

Dr. Mario L Olivencia Malave, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 20164.

Where does Dr. Mario L Olivencia Malave, MD practice?

The practice location is 55 Calle De Diego E Ste 401, Mayaguez, PR 00680-5081. The office can be reached at 787-487-7866 (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 1770837320 directly on the NPPES registry website.

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