Active NPI
Jose Daniel Solis, CSFA
- Surgical Assistant
- Deltona, FL
National Provider Identifier
1093262347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 168839
- Practice address
- 1680 Travers LN
Deltona, FL 32738-5044 - Phone
- (386) 479-3408
- NPI assigned
- Sep 3, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 168839 | FL | Primary |
Addresses
Primary practice location
1680 Travers LN
Deltona, FL 32738-5044
Mailing address
1680 Travers LN
Deltona, FL 32738-5044
Phone (386) 479-3408
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 |
|---|---|---|---|
| 168839 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472860800000",
"number": "1093262347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 TRAVERS LN",
"city": "DELTONA",
"state": "FL",
"postal_code": "327385044",
"telephone_number": "386-479-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 TRAVERS LN",
"city": "DELTONA",
"state": "FL",
"postal_code": "327385044",
"telephone_number": "386-479-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIS",
"first_name": "JOSE",
"middle_name": "DANIEL",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-03",
"last_updated": "2016-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "168839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
- Steven J Smith, DMD
- Sabrina I Snedaker
- Kristina Marie Snyder, MA LMHC
- Solace Care & Wellness, PA
- Geovanny Solano
- Sonicare Diagnostics, LLC
- Kharisma Jay Paje Soriano, PT, DPT
- Edwin Soto
- Southwest Volusia Healthcare Corporation (Adventhealth Deltona ER)
- Southwest Volusia Healthcare Corporation (Adventhealth Imaging Deltona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.