Individual provider Active NPI

Jose Antonio Blain-Soler, CRNA/APRN

  • Certified Registered Nurse Anesthetist
  • Hialeah, FL
National Provider Identifier
1437455946
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9258323 Issued in FL
Practice address
651 E 25TH St
Hialeah, FL 33013-3814
Phone
(305) 693-6100
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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 ARNP9258323 FL
Certified Registered Nurse Anesthetist 367500000X ARNP9258323 FL Primary

Addresses

Primary practice location

651 E 25TH St
Hialeah, FL 33013-3814

Mailing address

4750 SW 146TH CT
Miami, FL 33175-6888
Phone (305) 898-6210

Other identifiers 1

IdentifierTypeStateIssuer
EY042BOtherFLMEDICARE PTAN

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9258323FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Venus Medical Center, Corp. PastSince Aug 9, 2012 Accepting new patients

Organizations & group practices 1

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1437455946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 SW 146TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756888",
            "telephone_number": "305-898-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133814",
            "telephone_number": "305-693-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIN-SOLER",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "CRNA/APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9258323",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9258323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EY042B",
            "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 Jan 24, 2019; 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.