Ernestina Pelayo De Olivares MD PLLC
Community/Behavioral Health in Tucson, AZ. Organization (NPI-2).
Details
- NPI
- 1528293909
- Entity type
- Organization (NPI-2)
- Legal business name
- Ernestina Pelayo De Olivares MD PLLC
- Organization subpart
- No
- Enumeration date
- May 28, 2009
- Last updated
- May 28, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 31109 | AZ | Yes |
Practice location
5425 N Oracle Rd Ste 115Tucson, AZ 85704-3898
Phone 520-742-9166 · Fax 520-742-9146
Mailing address
5425 N Oracle Rd Ste 115Tucson, AZ 85704-3898
Phone 520-742-9166 · Fax 520-742-9146
Authorized official
Ernestina Pelayo De Olivares
President/Owner
5207429166
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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