Individual provider Active NPI

Gretchen A Otero-Soto

  • Diagnostic Radiology Physician
  • Caguas, PR
National Provider Identifier
1013370923
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22815 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 653-6060
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 22815 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 12691

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
I20230811000981 PR Practitioner - Diagnostic Radiology 1557723418 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dla Imaging LLCGroup PAC ID 4981986015, 28 clinicians

Practice addresses (Care Compare)

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 265-3042

1785 Carr
Suite 21
San Juan, PR 00921-3399
Phone (787) 782-9999

371 Ave de Diego
San Juan, PR 00923-3002
Phone (787) 767-5100

522 Calle Tintillo
Guaynabo, PR 00966-1667
Phone (787) 975-9521

55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 650-1030

Hospital & facility affiliations

  • Hospital Comunitario Buen Samaritano Inc Hospital, Aguadilla, PR, CCN 400079
  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123
  • Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117
  • Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014
  • Metropolitan Hospital Hospital, San Juan, PR, CCN 400106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22815PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jul 6, 2023 Accepting new patients
Migrant Health Center Western Region, Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Dla Imaging LLC Diagnostic Radiology CurrentSince Aug 8, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 6, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Fajardo Integrated Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Concilio de Salud Integral de Loiza, Inc. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Zenith Health Group LLC Past Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1013370923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582 x12691",
            "fax_number": "787-641-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO-SOTO",
        "first_name": "GRETCHEN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "22815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.