Organization Active NPI

Marizeli a Olacio DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami Shores, FL
National Provider Identifier
1548526676
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MARIZELI A OLACIO DPM PA
Practice address
9838 NE 2ND Ave
Miami Shores, FL 33138-2313
Phone
(305) 758-7878
Fax
(305) 754-2574
NPI assigned
Apr 3, 2012
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Marizeli A Olacio, DPMNPI 1588952311
Title
President
Phone
(305) 321-4574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

9838 NE 2ND Ave
Miami Shores, FL 33138-2313

Mailing address

9838 NE 2ND Ave
Miami Shores, FL 33138-2313
Phone (305) 758-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120917000844 FL Part B Supplier - Clinic/Group Practice 2668620675 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL; Miami, FL; Miami Shores, FL; North Miami Beach, FL
O20141029000902 FL DME Supplier - Physician - Podiatry 2668620675 Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

Miami Shores, FL 33138
Phone (305) 751-5454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1548526676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382313",
            "telephone_number": "305-758-7878",
            "fax_number": "305-754-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9838 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382313",
            "telephone_number": "305-758-7878",
            "fax_number": "305-754-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIZELI A OLACIO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "OLACIO",
        "authorized_official_first_name": "MARIZELI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-321-4574",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.