DR. MARIO LUIS OLIVENCIA MALAVE M.D
NPI 1770837320
General Practice in Mayaguez, PR
About Dr. Mario Luis Olivencia Malave M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIO LUIS OLIVENCIA MALAVE M.D (NPI 1770837320) is an individual general practice provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (20164) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Bella Vista Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mario Luis Olivencia Malave M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mario Olivencia Malave reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mayaguez, PR 00680
- Reassigned Medicare billing, Puerto Rico enrollment
- 13 clinicians in this Medicare group
San Sebastian, PR 00685
- Reassigned Medicare billing, Puerto Rico enrollment
- 20 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bella Vista Hospital
Acute Care Hospitals · Mayaguez, PROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mario Olivencia Malave's NPI number?
The NPI number for Mario Olivencia Malave is 1770837320. It was assigned to this individual provider in the NPPES registry on November 5, 2012.
Where is Mario Olivencia Malave located?
Mario Olivencia Malave practices at 55 Calle De Diego E Ste 401, Mayaguez, PR 00680. The listed phone number is (787) 487-7866.
What is Mario Olivencia Malave's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mario Olivencia Malave enrolled in Medicare?
Yes. Mario Olivencia Malave is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mario Olivencia Malave's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Olivencia Malave reassigns Medicare benefits to 2 organizations: Bella Vista Hospital, Inc (Mayaguez, PR) and Centro De Diagnostico Y Tratamiento De San Sebastian Inc (San Sebastian, PR). Each 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 Mario Olivencia Malave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mario Olivencia Malave affiliated with any hospitals?
According to CMS data, Mario Olivencia Malave is affiliated with Bella Vista Hospital.
When was this NPI record last updated?
The NPPES record for Mario Olivencia Malave was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Mario Luis Olivencia Malave, M.D · NPI 1770837320
General Practice physician in Mayaguez, Puerto Rico. Individual provider, active in the CMS NPPES registry since November 5, 2012.
## Identity
- **NPI:** 1770837320 (Entity type: Individual)
- **Enumerated:** November 5, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 20164 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 CALLE DE DIEGO E STE 401, Mayaguez, PR 00680-5081
- **Phone:** (787) 487-7866
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bella Vista Hospital, Inc (NPI 1881998334, Mayaguez, PR); Centro De Diagnostico Y Tratamiento De San Sebastian Inc (NPI 1063694453, San Sebastian, PR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 18, 2017
- **Other identifiers:** Medicare PIN 20164 (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1770837320) · Data from the CMS NPPES public registry.