Organization Active NPI

Sol MD Healthcare Centers

  • Internal Medicine Physician
  • Miami Gardens, FL
National Provider Identifier
1093195240
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89553 Issued in FL
Legal business name
SOL MD HEALTHCARE CENTERS
Practice address
17940 NW 27TH Ave
Miami Gardens, FL 33056-3505
Phone
(305) 621-8899
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Xunda A. Gibson, MD
Title
Medical Director
Phone
(305) 621-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME89553 FL Primary

Addresses

Primary practice location

17940 NW 27TH Ave
Miami Gardens, FL 33056-3505

Mailing address

2436 N Federal Hwy Ste 229
Lighthouse Point, FL 33064-6854
Phone (561) 543-0616

Other identifiers 1

IdentifierTypeStateIssuer
021304900MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1101839Sol MD Healthcare Centers LLC17940 NW 27TH Ave, Miami Gardens, FL 33056Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1093195240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 N FEDERAL HWY STE 229",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646854",
            "telephone_number": "561-543-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563505",
            "telephone_number": "305-621-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL MD HEALTHCARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "XUNDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-621-8899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021304900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.