Olympus Medical Wellness Center Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OLYMPUS MEDICAL WELLNESS CENTER CORP

Practice address

3611 SW 87TH Ave
Miami, FL 33165-4307

Phone

(305) 424-7343

Fax

(305) 547-9565

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Raul L Diaz Gil

Title

Authorized Official

Phone

(786) 872-6133

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1467173674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654307",
            "telephone_number": "305-424-7343",
            "fax_number": "305-547-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS MEDICAL WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ GIL",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-872-6133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INS",
            "identifier": "11151515",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olympia Discount Corp
• Olympia Heights Alf LLC
• Olympo Pharmacy and Discount Inc
• Olympus Healthcare Services Inc
• Olympus Healthcare, Inc
• Olympus Research LLC
• Om Holistic Health
• Oma Pharmacy Inc
• Omar Benitez MD PA
• Dianeth De la Caridad Omar Borges

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.