Individual provider Active NPI

Olga T Perez, M.D.

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1043487218
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME119823 Issued in FL
Practice address
3410 W 84TH St
Suite 110
Hialeah, FL 33018-4906
Phone
(305) 828-2883
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME119823 FL Primary

Addresses

Primary practice location

3410 W 84TH St
Suite 110
Hialeah, FL 33018-4906

Mailing address

3410 W 84TH St
Suite 110
Hialeah, FL 33018-4906
Phone (305) 828-2883

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317001768 FL Practitioner - Family Practice 5597943407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne H Case MD PAGroup PAC ID 5092616094, 7 clinicians

Practice addresses (Care Compare)

17933 NW 7 St
Pembroke Pines, FL 33029-2812
Phone (954) 436-1927

3410 W 84 St
Hialeah, FL 33018-4906
Phone (305) 558-3571

3470 NW 82ND Ave
Suite 118
Doral, FL 33122-1026
Phone (305) 398-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME119823FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H Case MD PA Family Medicine CurrentSince Oct 18, 2014 Accepting new patients
Wayne H Case MD PA Family Medicine Past Accepting new patients
Family Medical Centre Family Medicine Past Accepting new patients

Locations

3470 NW 82nd Ave
Ste 118
Doral, FL 33122
Phone (305) 398-1991

3410 W 84th St
Ste 110
Hialeah, FL 33018
Phone (305) 558-3571

17933 NW 7th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 436-1927

Organizations & group practices 3

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1043487218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184906",
            "telephone_number": "305-828-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184906",
            "telephone_number": "305-828-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "OLGA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.