Active NPI
Raquel Aurora Olavarrieta, M.D.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1477896199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME127207
- Practice address
- 11400 N Kendall Dr
Suite a-211
Miami, FL 33176-1029 - Phone
- (305) 274-2255
- Fax
- (305) 274-2211
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME127207 | FL | |
| Pediatrics Physician | 208000000X | ME127207 | FL | Primary |
Addresses
Primary practice location
11400 N Kendall Dr
Suite a-211
Miami, FL 33176-1029
Mailing address
11459 NW 75TH LN
Medley, FL 33178-2328
Phone (305) 322-6630
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127207 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
| Kendall Pediatrics | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Miami, FL
- NPI 1497885834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1477896199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11459 NW 75TH LN",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331782328",
"telephone_number": "305-322-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 N KENDALL DR",
"address_2": "SUITE A-211",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761029",
"telephone_number": "305-274-2255",
"fax_number": "305-274-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAVARRIETA",
"first_name": "RAQUEL",
"middle_name": "AURORA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME127207",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME127207",
"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 Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.