Healthcare Provider Details

I. General information

NPI: 1184276131
Provider Name (Legal Business Name): SOLERA HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 NE 89TH ST
EL PORTAL FL
33138-3119
US

IV. Provider business mailing address

1205 SW 37TH AVE
MIAMI FL
33135-4226
US

V. Phone/Fax

Practice location:
  • Phone: 305-882-9343
  • Fax:
Mailing address:
  • Phone: 786-552-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NICOLAS RENAUD ALVAREZ
Title or Position: CEO
Credential:
Phone: 786-351-4493