Enrique Armando Olivas-Gomez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214397 Issued in TX

Practice address

1575 Belvidere St
El Paso, TX 79912-2649

Phone

(915) 833-2229

NPI assigned

Apr 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1609562024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 DELTA DR SPC 211NA",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799055515",
            "telephone_number": "915-222-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BELVIDERE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122649",
            "telephone_number": "915-833-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS-GOMEZ",
        "first_name": "ENRIQUE",
        "middle_name": "ARMANDO",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Olivares Jr., MD
• Robert A Olivares Sr., MD
• Vanessa Stephanie Olivares, AU.D
• Gabino Olivarez, A.T.C., L.A.T
• Ricardo Olivas Lerma, MD
• Adam Hector Olivas
• Adriana M Olivas
• Alan Olivas
• Alexandra Olivas, APRN, FNP-C
• Andrew Olivas, DMD

• Occupational Therapy Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.