DR. OLGA NYDIA MIRANDA VICENTE (M.D.) – Family Medicine Physician, NPI 1013335579
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,723 FAMILY PRACTICE in FL
Provider Addresses for DR. OLGA NYDIA MIRANDA VICENTE (M.D.)
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (305) 575-7231
Type: Mailing
8600 NW 41ST ST
DORAL, FL 331666202
Phone: (056) 425-3663
Fax: (305) 644-6407
Type: Mailing
2160 S. First Avenue
Loyola Outpatient Center, 4300
Maywood, IL 60153
Phone: (708) 216-6006
Fax: (708) 216-2683
Type: Location
1611 NW 12th Ave
Miami, FL 331361005
Phone: (305) 575-7231
Type: Location
445 E 25TH ST
HIALEAH, FL 330133810
Phone: (305) 642-5366
Fax: (305) 644-6407
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($39).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $39 |
| Actelion Pharmaceuticals US, Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190211001934 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Family Practice | PR | |
| Internal Medicine | PR |
Reviews
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