KEYSHA KARELIS REYES OLIVO MD
NPI 1386392793
General Practice in San Juan, PR
About Keysha Karelis Reyes Olivo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSHA KARELIS REYES OLIVO MD (NPI 1386392793) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (22920) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keysha Karelis Reyes Olivo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keysha Reyes Olivo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vega Alta, PR 00692
- Reassigned Medicare billing, Puerto Rico enrollment
- Medicare enrollment name: Centro Medicina Primaria Vega Alta
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keysha Reyes Olivo's NPI number?
The NPI number for Keysha Reyes Olivo is 1386392793. It was assigned to this individual provider in the NPPES registry on March 15, 2022.
Where is Keysha Reyes Olivo located?
Keysha Reyes Olivo practices at 315-321 Cll 25 NE, San Juan, PR 00820. The listed phone number is (787) 480-5277.
What is Keysha Reyes Olivo's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Keysha Reyes Olivo enrolled in Medicare?
Yes. Keysha Reyes Olivo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keysha Reyes Olivo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keysha Reyes Olivo reassigns Medicare benefits to Centro De Medicina Primaria VA (Vega Alta, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keysha Reyes Olivo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keysha Reyes Olivo was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keysha Karelis Reyes Olivo, MD · NPI 1386392793
General Practice physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since March 15, 2022.
## Identity
- **NPI:** 1386392793 (Entity type: Individual)
- **Enumerated:** March 15, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 22920 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 315-321 CLL 25 NE, San Juan, PR 00820
- **Phone:** (787) 480-5277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centro De Medicina Primaria VA (NPI 1184708448, Vega Alta, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1386392793) · Data from the CMS NPPES public registry.