Individual provider Active NPI

Juan Carlos Garcia Soto, NP

  • Nurse Practitioner
  • Sunny Isles Beach, FL
National Provider Identifier
1689452872
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11019789 Issued in FL
Practice address
152 Sunny Isles Blvd Ste 11
Sunny Isles Beach, FL 33160-4679
Phone
(786) 898-3276
NPI assigned
Sep 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11019789 FL Primary

Addresses

Primary practice location

152 Sunny Isles Blvd Ste 11
Sunny Isles Beach, FL 33160-4679

Mailing address

152 Sunny Isles Blvd Ste 11
Sunny Isles Beach, FL 33160-4679
Phone (786) 898-3276

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
I20251015001633 FL Practitioner - Nurse Practitioner 2466949250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yaneth Trujillo MD.PAGroup PAC ID 1951449784, 5 clinicians

Practice addresses (Care Compare)

1290 Weston Rd
Suite 203
Weston, FL 33326-1912
Phone (954) 436-8036

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019789FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yaneth Trujillo MD.PA CurrentSince Oct 1, 2025 Accepting new patients
Rheumatology Medical Center LLC PastSince Feb 4, 2021 Accepting new patients
Sky Lab Diagnostic Center LLC PastSince Jul 23, 2023 Accepting new patients

Locations

2825 N University Dr
Ste 410
Coral Springs, FL 33065
Phone (754) 212-4864

14601 SW 29th St
Ste 209
Miramar, FL 33027
Phone (954) 436-8036

2300 N Commerce Pkwy
Ste 301
Weston, FL 33326
Phone (954) 314-7768

1290 Weston Rd
#203
Weston, FL 33326
Phone (305) 301-4264

1290 Weston Rd
Ste 203
Weston, FL 33326
Phone (954) 349-2777

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1689452872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SUNNY ISLES BLVD STE 11",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604679",
            "telephone_number": "786-898-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SUNNY ISLES BLVD STE 11",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604679",
            "telephone_number": "786-898-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA SOTO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11019789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

Verify at the official NPI Registry.