Individual provider Active NPI

Olin Fidel Lurbe Guillen

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1023759461
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017343 Issued in FL
Practice address
1 SW 129TH Ave Ste 201
Pembroke Pines, FL 33027-1716
Phone
(954) 430-9898
NPI assigned
Apr 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11017343 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave Ste 201
Pembroke Pines, FL 33027-1716

Mailing address

1 SW 129TH Ave Ste 201
Pembroke Pines, FL 33027-1716
Phone (954) 430-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829001410 FL Practitioner - Nurse Practitioner 3678957404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arturo R. Logrono, MD PAGroup PAC ID 2668522988, 5 clinicians

Practice addresses (Care Compare)

1 SW 129TH Ave
Suite 201
Pembroke Pines, FL 33027-1716
Phone (954) 430-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017343FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo R. Logrono, MD PA CurrentSince Aug 15, 2022 Accepting new patients

Locations

1 SW 129th Ave
Ste 201
Pembroke Pines, FL 33027
Phone (954) 430-9898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1023759461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271716",
            "telephone_number": "954-430-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271716",
            "telephone_number": "954-430-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURBE GUILLEN",
        "first_name": "OLIN",
        "middle_name": "FIDEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.