Ismary Oliva Raxach, TCM SUPERVISOR

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3908 W 12TH Ave
Hialeah, FL 33012-4105

Phone

(305) 400-8904

Fax

(786) 703-3924

NPI assigned

Apr 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Universal Community Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
  • NPI 1417570094
  NPD

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1336837673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124105",
            "telephone_number": "305-400-8904",
            "fax_number": "786-703-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124105",
            "telephone_number": "305-400-8904",
            "fax_number": "786-703-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA RAXACH",
        "first_name": "ISMARY",
        "credential": "TCM SUPERVISOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liz Ines Oliva Dominguez
• Cesar Adrian Oliva Hernandez
• Oliva Medical Supplies & Equipment, Inc.
• Ariadna Oliva Monzon
• Claudia Oliva Piloto
• Brandy Oliva Sanchez, MD
• Edelin Oliva Trinchet
• Susej Oliva Valle
• Beatriz Oliva
• Elizabeth Oliva

• Social Worker in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.