Individual provider Active NPI

Rosemary Davila-Sola, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1487956702
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-0001666 Issued in FL
Practice address
9617 SW 74TH St
Miami, FL 33173-3208
Phone
(305) 984-1154
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-0001666 FL Primary

Addresses

Primary practice location

9617 SW 74TH St
Miami, FL 33173-3208

Mailing address

9617 SW 74TH St
Miami, FL 33173-3208
Phone (305) 984-1154

Other identifiers 1

IdentifierTypeStateIssuer
003619900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000668 FL Practitioner - Podiatry 5294905105 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-0001666FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hector Garcia DPM PA Podiatrist CurrentSince Apr 1, 2021 Accepting new patients
Rosemary Davila-Sola DPM PA Podiatrist CurrentSince May 11, 2011 Accepting new patients

Locations

2042 NE 8th St
Homestead, FL 33033
Phone (305) 242-3747

3051 W Flagler St
Miami, FL 33135
Phone (305) 642-5153

11452 Quail Roost Dr
Miami, FL 33157
Phone (305) 255-1966

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1487956702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 SW 74TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733208",
            "telephone_number": "305-984-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 SW 74TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733208",
            "telephone_number": "305-984-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-SOLA",
        "first_name": "ROSEMARY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-0001666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003619900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.