MEDICARE: SOLERA HEALTH SYSTEMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1184276131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLERA HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	1205 SW 37TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4226
Country	:	US
Telephone Number	:	786-552-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 NE 89TH ST
Second Line	:
City	:	EL PORTAL
State	:	FL
Zip	:	33138-3119
Country	:	US
Telephone Number	:	305-882-9343
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. NICOLAS RENAUD ALVAREZ
Credential	:
Telephone Number	:	786-351-4493

Provider Enumeration Date	:	07/10/2019
Last Update Date	:	03/16/2023

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Directions to “SOLERA HEALTH SYSTEMS ” Practice Location

Language	Start Address	Practice Location

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