Organization Active NPI

Soledad Medical Center Inc.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1346875580
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOLEDAD MEDICAL CENTER INC.
Practice address
434 SW 12TH Ave Ste 200
Miami, FL 33130-2440
Phone
(786) 636-8096
Fax
(786) 907-4232
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Eliester Socorro
Title
Owner
Phone
(786) 636-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

434 SW 12TH Ave Ste 200
Miami, FL 33130-2440

Mailing address

434 SW 12TH Ave Ste 200
Miami, FL 33130-2440
Phone (786) 636-8096

National Provider Directory

National Provider Directory

Locations

434 SW 12th Ave
Ste 200
Miami, FL 33130
Phone (786) 636-8096

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1346875580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "786-636-8096",
            "fax_number": "786-907-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "786-636-8096",
            "fax_number": "786-907-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEDAD MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "SOCORRO",
        "authorized_official_first_name": "ELIESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-636-8096"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.