Active NPI
Dan Sotolongo Jimenez, MD
- Family Medicine Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME161126
- Practice address
- 5975 Sunset Dr Ste 402
South Miami, FL 33143-5198 - Phone
- (305) 669-2833
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036153273 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125.071569 | IL | |
| Family Medicine Physician | 207Q00000X | ME161126 | FL | Primary |
Addresses
Primary practice location
5975 Sunset Dr Ste 402
South Miami, FL 33143-5198
Mailing address
15338 SW 141St CT
Miami, FL 33177-0916
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Giralda Ave
Coral Gables, FL 33134-5303
Phone (786) 467-5000
1240 S Dixie Hwy
Coral Gables, FL 33146-2902
Phone (786) 467-5080
14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700
2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320
6300 S Dixie Hwy 100
South Miami UC
South Miami, FL 33143-4934
Phone (786) 467-5080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161126 | FL | MD | Family Medicine Physician |
| 125.071569 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Criticare Clinics Inc | Current | Accepting new patients | |
| Pedem PLLC | Past | Accepting new patients |
Locations
4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050
14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1508871948
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Miami, FL
- NPI 1598027302
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1245755958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15338 SW 141ST CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331770916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5975 SUNSET DR STE 402",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435198",
"telephone_number": "305-669-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOLONGO JIMENEZ",
"first_name": "DAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036153273",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125.071569",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME161126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
- Sofia Danielle Sosa
- Erin Rose Soto Alicea, APRN
- Ana Victoria Soto-Quintela
- Enrique Soto
- Winston Soto
- South Center Rehab, Inc
- South Florida Ambulatory Surgical Center LLC
- South Florida Infectious Disease and Tropical Medicine Center LLC
- South Florida Institute for Laser Vaginal Rejuvenation, Inc
- South Florida Institute for Reproductive Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.