Individual provider Active NPI

Ildiko Soltesz Agha, MD

  • Specialist
  • South Miami, FL
National Provider Identifier
1417099664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME15494 Issued in FL
Practice address
6701 Sunset Dr
Suite 101
South Miami, FL 33143-4529
Phone
(305) 666-3589
Fax
(305) 663-1015
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME15494 FL Primary

Addresses

Primary practice location

6701 Sunset Dr
Suite 101
South Miami, FL 33143-4529

Mailing address

6701 Sunset Dr
Suite 101
South Miami, FL 33143-4529
Phone (305) 666-3589

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME15494FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417099664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "SUITE 101",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-666-3589",
            "fax_number": "305-663-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "SUITE 101",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-666-3589",
            "fax_number": "305-663-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "ILDIKO",
        "middle_name": "SOLTESZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME15494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.