Individual provider Active NPI

Mario Luis Solana Borrego, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1568030781
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME165446 Issued in FL
Practice address
711 NW 23Rd Ave Ste 305
Miami, FL 33125-3395
Phone
(305) 541-3881
NPI assigned
Jun 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32260 FL
Family Medicine Physician 207Q00000X ME165446 FL Primary

Addresses

Primary practice location

711 NW 23Rd Ave Ste 305
Miami, FL 33125-3395

Mailing address

711 NW 23Rd Ave
Suite 305
Miami, FL 33125-3395
Phone (305) 541-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214001577 FL Practitioner - Family Practice 1355785726 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 NW 23Rd Ave
Suite 305
Miami, FL 33125-3395
Phone (305) 541-3881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32260FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amos R Menendez Mdpa CurrentSince Feb 1, 2024 Accepting new patients

Locations

711 NW 23rd Ave
Ste 305
Miami, FL 33125
Phone (305) 541-3881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1568030781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253395",
            "telephone_number": "305-541-3881",
            "fax_number": "305-642-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253395",
            "telephone_number": "305-541-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANA BORREGO",
        "first_name": "MARIO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "32260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME165446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.