MEDICARE: DR. JULIO SOMOANO MD

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	174400000X	Specialist	ME0028711	FL
2	207V00000X	Obstetrics & Gynecology Physician	ME002811	FL
3	207V00000X	Obstetrics & Gynecology Physician	ME28711	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851399224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO SOMOANO MD

Provider Business Mailing Address
First Line	:	8200 SW 117TH AVE STE 304
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:	305-226-5651
Fax Number	:	305-226-2424

Provider Business Practice Location Address
First Line	:	8200 SW 117TH AVE STE 304
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:	305-226-5651
Fax Number	:	305-226-2424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	11/01/2022

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Directions to “ DR. JULIO SOMOANO MD” Practice Location

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