| Roberto Sotolongo Md Pa | |
|
11760 Sw 156th Ct Miami FL 33196-6896 | |
| (787) 421-3758 | |
| (786) 787-7359 |
| Full Name | Roberto Sotolongo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11760 Sw 156th Ct, Miami, Florida |
| Authorized Official Name and Position | Roberto Sotolongo (PRESIDENT) |
| Authorized Official Contact | 7874213758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto Sotolongo Md Pa 11760 Sw 156th Ct Miami FL 33196-6896 Ph: (787) 421-3758 | Roberto Sotolongo Md Pa 11760 Sw 156th Ct Miami FL 33196-6896 Ph: (787) 421-3758 |
| NPI Number | 1689998247 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 2769632165 |
|---|---|
| Medicare Enrollment ID | O20121019000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689998247 | NPI | - | NPPES |
| 000627400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 102263 (Florida) | Primary |
| Provider Name | Roberto Sotolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013166156 PECOS PAC ID: 3375609613 Enrollment ID: I20090311000429 |
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