Individual provider Active NPI

Clelia Isabel Soto de Cayama, SA-C

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1003316118
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
18-122 Issued in FL
Practice address
7310 SW 132ND Ave
Miami, FL 33183-3468
Phone
(786) 451-5563
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 18-122 FL Primary

Addresses

Primary practice location

7310 SW 132ND Ave
Miami, FL 33183-3468

Mailing address

7310 SW 132ND Ave
Miami, FL 33183-3468
Phone (786) 451-5563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18-122FLMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1003316118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833468",
            "telephone_number": "786-451-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833468",
            "telephone_number": "786-451-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO DE CAYAMA",
        "first_name": "CLELIA",
        "middle_name": "ISABEL",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "18-122",
            "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 Feb 15, 2018; 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.