Individual provider Active NPI

Norberto Agustin Oliva-Trinchet, BMO X- RAY

  • Radiologic Technologist
  • Miami, FL
National Provider Identifier
1255680948
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
BMO79930 Issued in FL
Practice address
7124 SW 111TH PL
Miami, FL 33173-2135
Phone
(786) 290-0006
NPI assigned
Sep 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247100000X BMO79930 FL Primary

Addresses

Primary practice location

7124 SW 111TH PL
Miami, FL 33173-2135

Mailing address

7124 SW 111TH PL
Miami, FL 33173-2135
Phone (786) 290-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BMO79930FLMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1255680948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 SW 111TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732135",
            "telephone_number": "786-290-0006",
            "fax_number": "305-593-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 SW 111TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732135",
            "telephone_number": "786-290-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA-TRINCHET",
        "first_name": "NORBERTO",
        "middle_name": "AGUSTIN",
        "credential": "BMO X- RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "BMO79930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.