Elite Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ELITE PEDIATRICS PLLC

Doing business as

Elite Pediatrics

Practice address

137 Zamora Medical Cir
Eagle Pass, TX 78852-5485

Phone

(830) 758-7621

NPI assigned

Aug 26, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Olaya, MD

Title

Owner

Phone

(252) 412-9361

Specialties & licenses 1

Addresses

Other names 1

• Elite Pediatrics Doing business as

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1881241727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ZAMORA MEDICAL CIR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525485",
            "telephone_number": "830-758-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ZAMORA MEDICAL CIR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525485",
            "telephone_number": "830-758-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "OLAYA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-412-9361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.