Individual provider Active NPI

Solange Boza, FNP

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1679345573
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032034 Issued in FL
Practice address
20984 SW 92ND PL
Cutler Bay, FL 33189-2439
Phone
(305) 783-8923
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11032034 FL Primary

Addresses

Primary practice location

20984 SW 92ND PL
Cutler Bay, FL 33189-2439

Mailing address

20984 SW 92ND PL
Cutler Bay, FL 33189-2439
Phone (305) 783-8923

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017002698 FL Practitioner - Nurse Practitioner 8325570195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11032034FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Medicine PLLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

7887 N Kendall Dr
Ste 101
Miami, FL 33156
Phone (305) 273-6266

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1679345573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20984 SW 92ND PL",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892439",
            "telephone_number": "305-783-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20984 SW 92ND PL",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892439",
            "telephone_number": "305-783-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZA",
        "first_name": "SOLANGE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.