Individual provider Active NPI

Nelson Eduardo Olaguibel, D.O.

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1912965955
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005744 Issued in FL
Practice address
1825 Forest Hill Blvd
West Palm Beach, FL 33406-8902
Phone
(561) 967-3606
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005744 FL Primary

Addresses

Primary practice location

1825 Forest Hill Blvd
West Palm Beach, FL 33406-8902

Mailing address

1825 Forest Hill Blvd
West Palm Beach, FL 33406-6062
Phone (561) 967-3606

Other identifiers 1

IdentifierTypeStateIssuer
051319900MedicaidFL

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
I20080218000558 FL Practitioner - Family Practice 8224111935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 Forest Hill Blvd
West Palm Beach, FL 33406-6062
Phone (561) 967-3606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0005744FLMDFamily Medicine Physician
OS5744FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Imaging, LLC Current Accepting new patients
Nelson Olaguibel DO PA Family Medicine CurrentSince Jan 26, 2007 Accepting new patients
Independent Imaging LLC CurrentSince Oct 19, 2012 Accepting new patients
Independent Imaging, LLC CurrentSince Oct 19, 2012 Accepting new patients
Charles E Griff MD PA Past Accepting new patients
Palms West Imaging Inc Past Accepting new patients

Locations

701 S Main St
Belle Glade, FL 33430
Phone (561) 795-5558

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

1825 Forest Hill Blvd
Ste 205
West Palm Beach, FL 33406
Phone (561) 733-9099

1825 Forest Hill Blvd
Ste 203
West Palm Beach, FL 33406
Phone (561) 357-5636

Organizations & group practices 6

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1912965955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066062",
            "telephone_number": "561-967-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334068902",
            "telephone_number": "561-967-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUIBEL",
        "first_name": "NELSON",
        "middle_name": "EDUARDO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051319900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.