Individual provider Active NPI

Sandry Alvarez Soto

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891571790
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028388 Issued in FL
Practice address
9360 SW 72ND St Ste 205-212
Miami, FL 33173-5432
Phone
(786) 362-5555
Fax
(786) 362-5104
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 APRN11028388 FL Primary

Addresses

Primary practice location

9360 SW 72ND St Ste 205-212
Miami, FL 33173-5432

Mailing address

16573 SW 61St LN
Miami, FL 33193-5720

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
I20231011003010 FL Practitioner - Nurse Practitioner 1759735517 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9360 SW 72ND St
Suite 205 212
Miami, FL 33173-5432

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maxcure Medical Center, LLC CurrentSince Mar 6, 2025 Accepting new patients
Amos R Menendez Mdpa PastSince Sep 1, 2023 Accepting new patients

Locations

9360 SW 72nd St
Ste 205212
Miami, FL 33173
Phone (786) 362-5555

9025 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 417-0003

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1891571790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16573 SW 61ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 SW 72ND ST STE 205-212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735432",
            "telephone_number": "786-362-5555",
            "fax_number": "786-362-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ SOTO",
        "first_name": "SANDRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.