Active NPI
Olga Tudela, M.D.
- Obstetrics & Gynecology Physician
- Hialeah, FL
National Provider Identifier
1639347263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME110654
- Practice address
- 777 E 25TH St
Suite 106
Hialeah, FL 33013-3825 - Phone
- (305) 691-1171
- NPI assigned
- Feb 18, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD.203060 | LA | |
| Obstetrics & Gynecology Physician | 207V00000X | ME110654 | FL | Primary |
Addresses
Primary practice location
777 E 25TH St
Suite 106
Hialeah, FL 33013-3825
Mailing address
777 E 25TH St
Suite 106
Hialeah, FL 33013-3825
Phone (305) 631-1171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002844 | Medicaid | LA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University Central del Caribe Escuela de Medicina, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11760 SW 40TH St
Suite 729
Miami, FL 33175-8102
Phone (305) 559-8787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.203060 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francisco G Tudela M.D PA | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
777 E 25th St
Ste 106
Hialeah, FL 33013
Phone (305) 559-8787
11760 SW 40th St
Ste 729
Miami, FL 33175
Phone (305) 559-2779
Interoperability endpoints
- tudela.olga.008.0090297@fgtmd.meditab.direct-ci.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Hialeah, FL
- NPI 1265733430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1639347263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133825",
"telephone_number": "305-631-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133825",
"telephone_number": "305-691-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUDELA",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-18",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD.203060",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME110654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002844",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.