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DR. MARIO LUIS OLIVENCIA MALAVE M.D
NPI 1770837320
General Practice in Mayaguez, PR

Active since November 05, 2012PECOS EnrolledAccepts Medicare Assignment
55 CALLE DE DIEGO E STE 401, MAYAGUEZ, PR 00680(787) 487-7866 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1770837320
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARIO LUIS OLIVENCIA MALAVECredential: M.D
Location Address55 CALLE DE DIEGO E STE 401Mayaguez, PR 00680-5081
Mailing AddressCpr Profesional Building 65 De Diego E.suite Ste. 401Mayaguez, PR 00680-8501 · (787) 805-1032
Phone(787) 487-7866
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 5, 2012
Last NPPES UpdateJuly 18, 2017
✔ NPI 1770837320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 20164
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
55 CALLE DE DIEGO E STE 401, Mayaguez, PR 00680
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Other Identifiers 1

Medicare PIN20164PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7315217197
PECOS Enrollment IDI20170727000727
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services46 patients

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, PR
OwnershipVoluntary non-profit - Church
CMS Certification Number400014
LocationCarr 349 Km 2 7 Cerro Las MesasMayaguez, PR 00681 · Mayaguez County
Emergency services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORLANDO SOTO RAMOS MD
General Practice
55 CALLE DE DIEGO E STE 401
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 832-0000

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.

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.