Individual provider Active NPI

Bertha M. Olazabal, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1275635765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME53971 Issued in FL
Practice address
1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3197
Phone
(305) 557-2885
Fax
(305) 557-2604
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME53971 FL Primary

Addresses

Primary practice location

1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3197

Mailing address

1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3197
Phone (305) 557-2885

Other identifiers 2

IdentifierTypeStateIssuer
063680100MedicaidFL
07949OtherFLBLUE CROSS / BLUE SHIELD

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
I20120214000025 FL Practitioner - Internal Medicine 1759548118 Practice locations: Miami Lakes, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5803 NW 151St St
Suite 107
Miami Lakes, FL 33014-2473
Phone (305) 557-2885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFJBA/Endpoint/GEFJBA

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275635765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-557-2885",
            "fax_number": "305-557-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-557-2885",
            "fax_number": "305-557-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAZABAL",
        "first_name": "BERTHA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063680100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "07949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.