Active NPI
Julio C. Sotolongo, MD
- Occupational Medicine Physician
- Kissimmee, FL
National Provider Identifier
1952586703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- ME69384
- Practice address
- 1875 Boggy Creek Rd
Kissimmee, FL 34744-4428 - Phone
- (407) 343-2000
- Fax
- (407) 343-2044
- NPI assigned
- Dec 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | ME69384 | FL | Primary |
| General Practice Physician | 208D00000X | ME69384 | FL |
Addresses
Primary practice location
1875 Boggy Creek Rd
Kissimmee, FL 34744-4428
Mailing address
1875 Boggy Creek Rd
Kissimmee, FL 34744-4428
Phone (407) 343-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280691600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME69384 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Orlando, FL
- NPI 1942291471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1952586703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 BOGGY CREEK RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444428",
"telephone_number": "407-343-2000",
"fax_number": "407-343-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 BOGGY CREEK RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444428",
"telephone_number": "407-343-2000",
"fax_number": "407-343-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOLONGO",
"first_name": "JULIO",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "ME69384",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME69384",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280691600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.