Individual provider Active NPI

Rafael Soltero, D.D.S.

  • Dentist
  • Weston, FL
National Provider Identifier
1942621008
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20459 Issued in FL
Practice address
305 Mallard Rd
Weston, FL 33327-1117
Phone
(954) 205-2339
NPI assigned
Dec 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20459 FL Primary

Addresses

Primary practice location

305 Mallard Rd
Weston, FL 33327-1117

Mailing address

305 Mallard Rd
Weston, FL 33327-1117
Phone (954) 205-2339

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127002428 FL Order and Referring Only - DentistPractitioner - Dentist 0446553267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1942621008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MALLARD RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271117",
            "telephone_number": "954-205-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MALLARD RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271117",
            "telephone_number": "954-205-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTERO",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.