Organization Active NPI

Olga Prada MD Medical Clinic Corp

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1902266810
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OLGA PRADA MD MEDICAL CLINIC CORP
Practice address
720 SW 58TH CT
Miami, FL 33144-3928
Phone
(305) 267-1705
Fax
(305) 267-1703
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Olga Prada-Gonzalez, M.D
Title
President
Phone
(305) 267-1705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

720 SW 58TH CT
Miami, FL 33144-3928

Mailing address

720 SW 58TH CT
Miami, FL 33144-3928
Phone (305) 267-1705

National Provider Directory

National Provider Directory

Locations

720 SW 58th Ct
Miami, FL 33144
Phone (305) 266-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1902266810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW 58TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443928",
            "telephone_number": "305-267-1705",
            "fax_number": "305-267-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW 58TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443928",
            "telephone_number": "305-267-1705",
            "fax_number": "305-267-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA PRADA MD MEDICAL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "PRADA-GONZALEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-267-1705",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.