Noel R Olivera, ARDMS,CCI

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

56390 Issued in FL

Practice address

19850 NW 78TH Path
Hialeah, FL 33015-6631

Phone

(786) 223-5153

Fax

(305) 918-4028

NPI assigned

Aug 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1487934733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19850 NW 78TH PATH",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156631",
            "telephone_number": "786-223-5153",
            "fax_number": "305-918-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19850 NW 78TH PATH",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156631",
            "telephone_number": "786-223-5153",
            "fax_number": "305-918-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERA",
        "first_name": "NOEL",
        "middle_name": "R",
        "credential": "ARDMS,CCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "FL",
            "license": "00026021",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "56390",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "FL",
            "license": "00026021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Wilver Olivera Requena
• Marelis Olivera Rey
• Dagnay Olivera
• Gladys Mariam Olivera, PMHNP
• Livia Olivera
• Rosanne M. Oliveras-Lopez, R.P.T.
• Olorun Staffing Ctr, Inc.
• Olupona Foot and Ankle
• Olupona Foot and Ankle LLC
• Om Health Care Services, Inc

• Sonography Radiologic Technologist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Sonography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.