Individual provider Active NPI

Maria Cristina Soto, M.D., FAAP

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1245238161
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
150791 Issued in FL
Practice address
6726 Hanley Rd
Tampa, FL 33634-4739
Phone
(813) 284-7903
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2013-01303 NC
Pediatrics Physician 208000000X 150791 FL Primary

Addresses

Primary practice location

6726 Hanley Rd
Tampa, FL 33634-4739

Mailing address

1400 NW 107TH Ave Ste 500
Sweetwater, FL 33172-2746
Phone (813) 648-6684

Other identifiers 1

IdentifierTypeStateIssuer
254663900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030003717 FL Practitioner - Pediatric Medicine 1456665504 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
150791FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Medical Consultants, LLC. CurrentSince Aug 25, 2024 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Dec 12, 2024 Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients
Premier Community Healthcare Group Inc Past Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

7455 State Road 52
Hudson, FL 34667
Phone (727) 619-6690

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

7500 SW 8th St
Ste 400
Miami, FL 33144

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

6245 66th St N
Pinellas Park, FL 33781
Phone (727) 873-3891

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

6726 Hanley Rd
Tampa, FL 33634
Phone (813) 284-7903

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1245238161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE STE 500",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722746",
            "telephone_number": "813-648-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 HANLEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344739",
            "telephone_number": "813-284-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "credential": "M.D., FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2013-01303",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "150791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254663900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.