Individual provider Active NPI

Olber Lazaro Lacosta Orozco

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1508469651
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008553 Issued in FL
Practice address
1251 NW 36TH St
Miami, FL 33142-5532
Phone
(305) 929-6150
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008553 FL Primary

Addresses

Primary practice location

1251 NW 36TH St
Miami, FL 33142-5532

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (786) 814-4790

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227000718 FL Practitioner - Nurse Practitioner 6608211917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Larocca, MD, PA CurrentSince Jan 21, 2024 Accepting new patients
Pavel Costa Armas Arnp BC PA PastSince Jan 21, 2024 Accepting new patients

Locations

11130 SW 88th St
Ste 200
Miami, FL 33176
Phone (305) 271-4001

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1508469651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "786-814-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425532",
            "telephone_number": "305-929-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTA OROZCO",
        "first_name": "OLBER",
        "middle_name": "LAZARO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.