Provider Demographics
NPI:1952809972
Name:BONET SOLIS, IOSIF
Entity Type:Individual
Prefix:
First Name:IOSIF
Middle Name:
Last Name:BONET SOLIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 W 83RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3462
Mailing Address - Country:US
Mailing Address - Phone:786-725-7842
Mailing Address - Fax:
Practice Address - Street 1:1370 W 83RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3462
Practice Address - Country:US
Practice Address - Phone:786-725-7842
Practice Address - Fax:305-402-6101
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLRN9479818163W00000X
FLCBHCM100369104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No163W00000XNursing Service ProvidersRegistered Nurse