SOFIA DAVALOS (PA-C) – Internal Medicine Physician, NPI 1225663099

SOFIA DAVALOS (PA-C) is a healthcare provider. based in North miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9113103 (FL). The NPI Number for SOFIA DAVALOS (PA-C) is 1225663099

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SOFIA DAVALOS (PA-C)
NPI
1225663099
Phone
(305) 538-8835
Address
11645 BISCAYNE BLVD
Enumeration Date
11 March 2020
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055388835
Graduation Year
2019 (7 years ago)
PAC ID
0244651263
Group Practice PAC ID
8123090925
Professional Enrollment ID
I20200529002532
Address ID
FL331813155MI11645BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for SOFIA DAVALOS (PA-C)

  • 11645 BISCAYNE BLVD

    STE 302 STE 304

    NORTH MIAMI, FL 331813155

    Phone: (305) 538-8835

    Type: Location

  • 11645 BISCAYNE BLVD STE 207

    NORTH MIAMI, FL 331813138

    Phone: (305) 538-8835

    Fax: (305) 994-0054

    Type: Mailing

  • 11645 BISCAYNE BLVD STE 100

    NORTH MIAMI, FL 331813155

    Phone: (305) 538-8835

    Fax: (305) 994-0054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ViiV Healthcare Company ($198).

Total Amount

$445

General + Research + Ownership

Payments

15

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200529002532IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33181)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123090925View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
O P T O M E T R YFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General PracticeFL
P O D I A T R YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify SOFIA DAVALOS (PA-C) for billing?
Administrative and clinical systems typically use NPI 1225663099 for SOFIA DAVALOS (PA-C).
Quick check: is SOFIA DAVALOS (PA-C) active?
Public NPPES data shows SOFIA DAVALOS (PA-C) with an active NPI status right now.
Which specialty label fits SOFIA DAVALOS (PA-C)?
NPPES ties SOFIA DAVALOS (PA-C) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SOFIA DAVALOS (PA-C) in North Miami, Florida?
For routing, start with North Miami, Florida for SOFIA DAVALOS (PA-C), then verify phone and hours locally.
Can I export SOFIA DAVALOS (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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