Individual provider Active NPI

Juan G Soto Valera, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Pierce, FL
National Provider Identifier
1417423773
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11002086 Issued in FL
Practice address
1700 S 23Rd St FL 34950
Fort Pierce, FL 34950-4803
Phone
(772) 461-4000
NPI assigned
Oct 15, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 124300 PR
Certified Registered Nurse Anesthetist 367500000X APRN11002086 FL Primary

Addresses

Primary practice location

1700 S 23Rd St FL 34950
Fort Pierce, FL 34950-4803

Mailing address

T17 Calle 17 Levittown
Urb Lagos de Plata
Toa Baja, PR 00949
Phone (787) 674-5285

Other practice location 1

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719000108 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517293111 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9415082FLMDRegistered Nurse
APRN11002086FLMDCertified Registered Nurse Anesthetist
124300PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfstream Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Feb 13, 2025 Accepting new patients
Hialeah Anesthesia Specialists LLC CurrentSince Sep 15, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince May 1, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince May 1, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

Organizations & group practices 8

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1417423773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T17 CALLE 17 LEVITTOWN",
            "address_2": "URB LAGOS DE PLATA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-674-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST FL 34950",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-461-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Gall Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335411347",
            "country_code": "US",
            "telephone_number": "813-788-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO VALERA",
        "first_name": "JUAN",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "124300",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11002086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.