Organization Active NPI

Anthony Solages and Infectious Disease Associates, LLC

  • Infectious Disease Physician
  • Southwest Ranches, FL
National Provider Identifier
1215170402
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
92045 Issued in FL
Legal business name
ANTHONY SOLAGES AND INFECTIOUS DISEASE ASSOCIATES, LLC
Practice address
4745 SW 148TH Ave
301
Southwest Ranches, FL 33330-2126
Phone
(954) 583-9661
Fax
(954) 272-8201
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Anthony Solages, M.D.NPI 1114019916
Title
President
Phone
(954) 583-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 92045 FL Primary

Addresses

Primary practice location

4745 SW 148TH Ave
301
Southwest Ranches, FL 33330-2126

Mailing address

PO Box 292523
Davie, FL 33329-2523
Phone (954) 583-9661

Other identifiers 1

IdentifierTypeStateIssuer
272879600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100322000581 FL Part B Supplier - Clinic/Group Practice 5294860896 Receives reassigned benefits from 1 practitioner
Practice locations: Davie, FL

National Provider Directory

National Provider Directory

Locations

2400 N University Dr
Ste 215
Pembroke Pines, FL 33024
Phone (754) 221-0456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1215170402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292523",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333292523",
            "telephone_number": "954-583-9661",
            "fax_number": "954-272-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SW 148TH AVE",
            "address_2": "301",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302126",
            "telephone_number": "954-583-9661",
            "fax_number": "954-272-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY SOLAGES AND INFECTIOUS DISEASE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "SOLAGES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-583-9661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "92045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272879600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.