Active NPI
Damaris Sotoaguilar
- Pediatric Occupational Therapist
- Pembroke Pines, FL
National Provider Identifier
1063884195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTA13943
- Practice address
- 710 SW 147TH Street.
Pembroke Pines, FL 33027 - Phone
- (954) 593-3082
- NPI assigned
- Oct 28, 2015
- Last updated
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTA13943 | FL | Primary |
Addresses
Primary practice location
710 SW 147TH Street.
Pembroke Pines, FL 33027
Mailing address
710 SW 147TH Street.
Pembroke Pines, FL 33027
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA13943 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Dental Group of Kendall LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Miami, FL
- NPI 1013723790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1063884195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 SW 147TH STREET.",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SW 147TH STREET.",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33027",
"telephone_number": "954-593-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOAGUILAR",
"first_name": "DAMARIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OTA13943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
- Sylvia Ana Soto Davila, P.A.
- Niarasha Yalet Soto la Santa, FNP-C
- Alec Soto, PHARMD
- Ashley Soto
- Nathalie Soto
- Carolina A Sotomayor
- Soul Care Counseling and Consultants, LLC
- South Broward Home Care, Inc.
- South Broward Hospital District (Memorial Hospital Pembroke)
- South Broward Hospital District (Memorial Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.