Individual provider Active NPI

Osmel Alba Oliveros

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1043881899
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012457 Issued in FL
Practice address
7495 N University Dr
Tamarac, FL 33321-2971
Phone
(305) 534-0076
NPI assigned
Jul 2, 2021
Sex
Male
Sole proprietor
Yes

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.

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
I20220201000570 FL Practitioner - Nurse Practitioner 3375936156 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Medical Consultants, LLC. CurrentSince May 1, 2023 Accepting new patients
Conviva Specialty, LLC PastSince Dec 12, 2024 Accepting new patients
Miami Beach Medical Consultants, LLC. Past Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Ste 400
Miami, FL 33144

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

12550 Biscayne Blvd
Ste 100
North Miami, FL 33181
Phone (305) 899-7090

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

7495 N University Dr
Tamarac, FL 33321
Phone (954) 306-9037

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11012457 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

7495 N University Dr
Tamarac, FL 33321-2971

Mailing address

1400 NW 107TH Ave Ste 500
Sweetwater, FL 33172-2746
Phone (305) 534-0076

Other practice location 1

12625 W Dixie Hwy
North Miami, FL 33161-4803
Phone (305) 534-0076

Other practice location 2

12550 Biscayne Blvd Ste 100
North Miami, FL 33181-2536
Phone (305) 534-0076

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2022.

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1043881899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE STE 500",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722746",
            "telephone_number": "305-534-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212971",
            "telephone_number": "305-534-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12625 W Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331614803",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12550 Biscayne Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812536",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBA OLIVEROS",
        "first_name": "OSMEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.