Provider Demographics
NPI:1124264254
Name:GERARDO OLARTE, PH.D., P.A.
Entity type:Organization
Organization Name:GERARDO OLARTE, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:OLARTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-588-7488
Mailing Address - Street 1:991 NE 73RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-5229
Mailing Address - Country:US
Mailing Address - Phone:305-758-4003
Mailing Address - Fax:305-758-4003
Practice Address - Street 1:991 NE 73RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-5229
Practice Address - Country:US
Practice Address - Phone:305-758-4003
Practice Address - Fax:305-758-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 377251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health