Individual provider Active NPI

Jaime A Soteras, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1366553190
Registry record updated Oct 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 0068506 Issued in FL
Practice address
4160 W 16TH Ave Ste 203
Hialeah, FL 33012-5853
Phone
(305) 826-9565
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 0068506 FL Primary

Addresses

Primary practice location

4160 W 16TH Ave Ste 203
Hialeah, FL 33012-5853

Mailing address

4160 W 16TH Ave Ste 203
Hialeah, FL 33012-5853
Phone (305) 826-9565

Other identifiers 1

IdentifierTypeStateIssuer
373837100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0068506FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192924800000",
    "number": "1366553190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE STE 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125853",
            "telephone_number": "305-826-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE STE 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125853",
            "telephone_number": "305-826-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTERAS",
        "first_name": "JAIME",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 0068506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373837100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2007; 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.