Active NPI
Jaqueline Baluja Soledad, APRN
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004642
- Practice address
- 16264 SW 97TH St
Miami, FL 33196-5944 - Phone
- (786) 587-6298
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11004642 | FL | Primary |
Addresses
Primary practice location
16264 SW 97TH St
Miami, FL 33196-5944
Mailing address
16264 SW 97TH St
Miami, FL 33196-5944
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111
9380 SW 150TH St
Miami, FL 33176-7947
Phone (305) 256-5018
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.01 of 100
- Quality
- 72.99
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 78.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Trust of Miami Dade County Florida | Current | Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Current | Accepting new patients | |
| Public Health Trust of Dade County Florida | Past | Accepting new patients |
Locations
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
7887 N Kendall Dr
Ste 225
Miami, FL 33156
Phone (305) 663-8877
15155 SW 97th Ave
Ste 200
Miami, FL 33176
Phone (305) 256-4334
9195 Sunset Dr
Ste 230
Miami, FL 33173
Phone (305) 271-0300
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
Organizations & group practices 3
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.
-
- General Practice Physician
- Miami, FL
- NPI 1134384423
-
- General Practice Physician
- Hialeah, FL
- NPI 1841149093
-
- Family Medicine Physician
- Miami, FL
- NPI 1902978695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1366085144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16264 SW 97TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331965944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16264 SW 97TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331965944",
"telephone_number": "786-587-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALUJA SOLEDAD",
"first_name": "JAQUELINE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11004642",
"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 Oct 23, 2019; 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.