Healthcare Provider Details

I. General information

NPI: 1720912421
Provider Name (Legal Business Name): KATE ELIZABETH ARIAS OLIVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2498 SW 17TH AVE APT 4112
MIAMI FL
33145-3858
US

IV. Provider business mailing address

2498 SW 17TH AVE APT 4112
MIAMI FL
33145-3858
US

V. Phone/Fax

Practice location:
  • Phone: 305-282-2875
  • Fax:
Mailing address:
  • Phone: 305-282-2875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27071
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: