Individual provider Active NPI

Gregorio A. Cortes-Soto, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1003858994
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8035 Issued in PR
Practice address
1826 Ave Fernandez Juncos
San Juan, PR 00909-3004
Phone
(787) 726-8396
Fax
(787) 727-6672
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8035 PR Primary

Addresses

Primary practice location

1826 Ave Fernandez Juncos
San Juan, PR 00909-3004

Mailing address

PO Box 1644
Carolina, PR 00984-1644
Phone (787) 726-8396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213002594 PR Practitioner - Internal Medicine 7416217328 Practice locations: San Juan, PR; Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1826 Ave Fernandez Juncos
San Juan, PR 00909-3004
Phone (787) 726-8396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8035PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Urbanmed LLC Internal Medicine CurrentSince Sep 11, 2022 Accepting new patients

Locations

1826 Ave Fernandez Juncos
Santurce, PR 00909
Phone (787) 340-3839

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1003858994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1644",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841644",
            "telephone_number": "787-726-8396",
            "fax_number": "787-727-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 AVE FERNANDEZ JUNCOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009093004",
            "telephone_number": "787-726-8396",
            "fax_number": "787-727-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES-SOTO",
        "first_name": "GREGORIO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.