MEDICARE: DR. PEDRO OYOLA NIEVES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	6157	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801861539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO OYOLA NIEVES M.D.

Provider Business Mailing Address
First Line	:	PMB 170 FOREST HILLS
Second Line	:	A8 CALLE MARGINAL
City	:	BAYAMON
State	:	PR
Zip	:	00959-0000
Country	:	US
Telephone Number	:	787-399-0884
Fax Number	:	787-786-7460

Provider Business Practice Location Address
First Line	:	73 EDIFICIO MEDICO SANTA CRUZ
Second Line	:	CALLE SANTA CRUZ SUITE 416
City	:	BAYAMON
State	:	PR
Zip	:	00959-0000
Country	:	US
Telephone Number	:	787-786-7460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	01/10/2025

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Directions to “ DR. PEDRO OYOLA NIEVES M.D.” Practice Location

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