Provider Demographics
NPI:1689226656
Name:SOLERA HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:SOLERA HEALTH SYSTEMS LLC
Other - Org Name:ONE HEALTH MEDICAL CENTER-DOUGLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:RENAUD
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-448-8255
Mailing Address - Street 1:1205 SW 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4226
Mailing Address - Country:US
Mailing Address - Phone:786-552-7800
Mailing Address - Fax:
Practice Address - Street 1:1205 SW 37TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4226
Practice Address - Country:US
Practice Address - Phone:786-552-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCCOtherAHCA EXEMPTION