NPI Code Details Logo

NPI 1770875189

NPI 1770875189 : DANIEL FERNANDEZ-SOTO MD : MIAMI SHORES, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770875189
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DANIEL FERNANDEZ-SOTO MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/04/2011
-----------------------------------------------------
    Last Update Date     |    04/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9822 NE 2ND AVE STE 4 
-----------------------------------------------------
    City                 |    MIAMI SHORES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33138-2347
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-525-2690
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    185 NE 100TH ST 
-----------------------------------------------------
    City                 |    MIAMI SHORES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33138-2316
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-663-0162
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207L00000X
-----------------------------------------------------
    Taxonomy Name        |    Anesthesiology Physician
-----------------------------------------------------
    License Number       |    ME124107
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207LP2900X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
    License Number       |    ME124107
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.