Individual provider Active NPI

Dellys Mariel Soler, M.D.

  • Pediatric Gastroenterology Physician
  • Orlando, FL
National Provider Identifier
1316269764
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME170674 Issued in FL
Practice address
615 E Princeton St Ste 225
Orlando, FL 32803-1423
Phone
(407) 303-9926
NPI assigned
Feb 25, 2010
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 072132 GA
Pediatric Gastroenterology Physician 2080P0206X ME170674 FL Primary

Addresses

Primary practice location

615 E Princeton St Ste 225
Orlando, FL 32803-1423

Mailing address

615 E Princeton St Ste 225
Orlando, FL 32803-1423
Phone (407) 303-9926

Other practice location 1

2015 Uppergate Dr NE
Atlanta, GA 30322-0001
Phone (404) 727-1463

Other names 1

  • Dr. Dellys Mariel Soler Rodriguez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151113001206 GA Practitioner - Pediatric Medicine 8527378942 Reassigns benefits to 1 organization
I20241217004427 FL Practitioner - Pediatric MedicinePractitioner - Gastroenterology 8527378942 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072132GAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 13, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Feb 18, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 13, 2025 Accepting new patients
Emory Medical Care Foundation Inc Pediatric Gastroenterology CurrentSince Feb 18, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

615 E Princeton St
Ste 225
Orlando, FL 32803
Phone (407) 303-9926

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: dsoler64528@choa.gadirect.net
  • Direct secure messaging: dsolerrodriguez4124466@adventhealth.direct-ci.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1316269764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031423",
            "telephone_number": "407-303-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031423",
            "telephone_number": "407-303-9926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Uppergate Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303220001",
            "country_code": "US",
            "telephone_number": "404-727-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLER",
        "first_name": "DELLYS",
        "middle_name": "MARIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "GA",
            "license": "072132",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME170674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELLYS",
            "last_name": "SOLER RODRIGUEZ",
            "middle_name": "MARIEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.