Active NPI
Israel Soto Rolon, CRNA
- Certified Registered Nurse Anesthetist
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9196252
- Practice address
- 12230 W Forest Hill Blvd
Wellington, FL 33414-5700 - Phone
- (561) 798-4221
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9196252 | FL | Primary |
Addresses
Primary practice location
12230 W Forest Hill Blvd
Wellington, FL 33414-5700
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Puerto Rico School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9196252 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants of the Palm Beaches PA | Past | Accepting new patients |
Locations
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tamarac, FL
- NPI 1366864852
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1437823507
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Loxahatchee, FL
- NPI 1598978884
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wellington, FL
- NPI 1720013287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720095110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 W FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145700",
"telephone_number": "561-798-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO ROLON",
"first_name": "ISRAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9196252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.