Active NPI
Roberto Sotolongo MD PA
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1689998247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 102263
- Legal business name
- ROBERTO SOTOLONGO MD PA
- Practice address
- 11760 SW 156TH CT
Miami, FL 33196-6896 - Phone
- (787) 421-3758
- Fax
- (786) 787-7359
- NPI assigned
- Mar 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberto Sotolongo, MD
- Title
- President
- Phone
- (787) 421-3758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 102263 | FL | Primary |
Addresses
Primary practice location
11760 SW 156TH CT
Miami, FL 33196-6896
Mailing address
11760 SW 156TH CT
Miami, FL 33196-6896
Phone (787) 421-3758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000627400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9835 SW 72nd St
Ste 201
Miami, FL 33173
Phone (305) 271-6513
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1013166156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1689998247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 SW 156TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966896",
"telephone_number": "787-421-3758",
"fax_number": "786-787-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 SW 156TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966896",
"telephone_number": "787-421-3758",
"fax_number": "786-787-7359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO SOTOLONGO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-25",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "SOTOLONGO",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-421-3758",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "102263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000627400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Roberto Guerra MD PA
- Roberto Morejon NP, Inc
- Roberto Polanco MD PA
- Roberto Ponce, OD PA
- Roberto Sanchez Ortega MD. PA.
- Roberto Warman MD and Associates PA (Pediatric Ophthalmology Consultants)
- Elliott Roberto, BA
- Evelyn Roberto, APRN
- Daneshia Roberts-Pollack, PA-C
- Ashanti Christine Devi Roberts, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.