Individual provider Active NPI

Juana Sotolongo

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1437038809
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041822 Issued in FL
Practice address
18425 NW 2ND Ave PH 5
Miami Gardens, FL 33169-4524
Phone
(800) 434-1366
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11041822 FL Primary
General Practice Registered Nurse 163WG0000X 9624010 FL

Addresses

Primary practice location

18425 NW 2ND Ave PH 5
Miami Gardens, FL 33169-4524

Mailing address

18425 NW 2ND Ave PH 5
Miami Gardens, FL 33169-4524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18425 NW 2ND Ave
5TH Floor PH7
Miami Gardens, FL 33169-4525

3470 NW 82ND Ave
Suite 630
Doral, FL 33122-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9624010FLMDGeneral Practice Registered Nurse
11041822FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alive and Well Community Partners LLC CurrentSince Jun 1, 2026 Accepting new patients
Alive and Well Community Partners Broward LLC PastSince Jun 1, 2026 Accepting new patients

Locations

18425 NW 2nd Ave
Ph 7
Miami Gardens, FL 33169
Phone (800) 434-1366

18425 NW 2nd Ave
Ph 5
Miami Gardens, FL 33169
Phone (786) 269-4386

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1437038809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE PH 5",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE PH 5",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694524",
            "telephone_number": "800-434-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOLONGO",
        "first_name": "JUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041822",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9624010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.