Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mario Luis Olivencia Malave, MD

Individual provider General Practice Physician · NPI 1770837320

Dr. Mario Luis Olivencia Malave, MD is a General Practice in Mayaguez, Puerto Rico. Qualified in 2009, 17 years ago. Practices with Bella Vista Hospital Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
17
Licensed in
PR
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

55 Calle De Diego E Ste 401
Mayaguez, PR 00680-5081
Phone: (787) 487-7866

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 20164 (PR)

Record details

NPI number1770837320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 5, 2012
Last updated in NPPESJuly 18, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bella Vista Hospital Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mayaguez