Organization Active NPI

Olgpa Enterprise LLC

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1699348375
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OLGPA ENTERPRISE LLC
Doing business as
CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY
Practice address
6718 Lake Nona Blvd Ste 240
Orlando, FL 32827-7985
Phone
(863) 758-2273
Fax
(305) 400-4176
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Ms. Olga Diaz
Title
Manager
Phone
(202) 361-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6718 Lake Nona Blvd Ste 240
Orlando, FL 32827-7985

Mailing address

PO Box 950572
Lake Mary, FL 32795-0572
Phone (863) 758-2273

Other names 1

  • CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1699348375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950572",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950572",
            "telephone_number": "863-758-2273",
            "fax_number": "305-400-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD STE 240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277985",
            "telephone_number": "863-758-2273",
            "fax_number": "305-400-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGPA ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-361-9290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.