Renato Carlo Sotelo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11036267 Issued in FL

Practice address

21000 NE 28TH Ave Ste 305
Aventura, FL 33180-1421

Phone

(305) 933-5993

Fax

(305) 993-9415

NPI assigned

Oct 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Neuroscience Consultants LLP

  • Specialist
  • Medley, FL
  • NPI 1346217452
  Medicare reassignment NPD
• Ezr Research

  • Medical Specialty Clinic/Center
  • Boca Raton, FL
  • NPI 1225853617
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1629899984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 NE 28TH AVE STE 305",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801421",
            "telephone_number": "305-933-5993",
            "fax_number": "305-993-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "RENATO",
        "middle_name": "CARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2024084788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Soltanik, DMD, PA. GP
• Soothe Psychiatry LLC
• Agustin Soria
• Sos Physio LLC
• Carmen Luz Sotelo, MS
• South Broward Hospital District
• South Broward Hospital District
• South Florida Center for Periodontics & Implant Dentistry of Aventura
• South Florida Eye Associates, PA
• South Florida Hand Institute

• Family Nurse Practitioner in Aventura, FL
• Providers in Aventura, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.