Individual provider Active NPI

Olga Tudela, M.D.

  • Obstetrics & Gynecology Physician
  • Hialeah, FL
National Provider Identifier
1639347263
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME110654 Issued in FL
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

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1002844MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000162 FL Practitioner - Obstetrics/Gynecology 8628240892 Reassigns benefits to 1 organization

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
Francisco G Tudela M.D PAGroup PAC ID 1951589480, 2 clinicians

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

LicenseStateTypeSpecialty
MD.203060LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco G Tudela M.D PA Obstetrics & Gynecology CurrentSince Aug 15, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.