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Antonio R Olivencia-Echeandia

General Practice

Allopathic & Osteopathic Physicians

14 N Peral St, Edificio La Palma 2-B, Mayaguez, PR 00680

PECOS Enrollment

This provider is enrolled in PECOS as ANTONIO OLIVENCIA-ECHEANDIA.

Based on the most recent information from CMS, provider Antonio R Olivencia-Echeandia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528376118
Provider Type
Individual
Full Name
Olivencia-Echeandia, Antonio R
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/17/2010
Last Updated
9/17/2010

Contact Information

Practice Location

14 N Peral St, Edificio La Palma 2-B, Mayaguez, PR 00680

(787) 834-3535

(787) 832-3300

Mailing Location

14 N Peral St, Edificio La Palma 2-B, Mayaguez, PR 00680

(787) 834-3535

(787) 832-3300

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 18027 Puerto Rico

Antonio R Olivencia-Echeandia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Grupo De Medicos Visitantes Del Oeste,Csp

Guzman Alvarado, Anthony Luis

Arroyo, Ferdinand

Roman Carlo Medical Services Psc

Gonzalez, Ronald

Durand, Luz Noelia

Figueroa, Zoema Lorell

Carrera, Julio

Torres Mercado, Carmen

Casiano, Elisbel