Individual provider Active NPI

Sofia Barba Reyes

  • Audiologist
  • Pembroke Pines, FL
National Provider Identifier
1841995602
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2733 Issued in FL
Practice address
12385 Pembroke Rd Unit 102
Pembroke Pines, FL 33025-1723
Phone
(561) 530-2149
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2733 FL Primary

Addresses

Primary practice location

12385 Pembroke Rd Unit 102
Pembroke Pines, FL 33025-1723

Mailing address

1120 NW 14TH St
Miami, FL 33136-2107

Other practice location 1

1120 NW 14th St
Miami, FL 33136-2107
Phone (305) 243-1349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213001934 FL Practitioner - Qualified Audiologist 0547603995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

12193 Pembroke Rd
Ste 313
Pembroke Pines, FL 33025
Phone (954) 435-8820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1841995602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 PEMBROKE RD UNIT 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "561-530-2149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 NW 14th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331362107",
            "country_code": "US",
            "telephone_number": "305-243-1349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBA REYES",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; 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.

Verify at the official NPI Registry.