Provider Demographics
NPI:1376068940
Name:SOLTERO, JONNATHAN DAVID (ARNP)
Entity type:Individual
Prefix:
First Name:JONNATHAN
Middle Name:DAVID
Last Name:SOLTERO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:JONNATHAN
Other - Middle Name:DAVID
Other - Last Name:SOLTERO-VAZQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:737 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3121
Practice Address - Country:US
Practice Address - Phone:321-247-4960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9296863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily