Active NPI
Gretchen A Otero-Soto
- Diagnostic Radiology Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 Perea
- Hospital Metropolitano Dr Susoni
- Bella Vista Hospital
- Metropolitan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22815 | PR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Dla Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Med Centro, Inc. | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Fajardo Integrated Medical Center | Current | Accepting new patients | |
| Concilio de Salud Integral de Loiza, Inc. | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Guaynabo, PR
- NPI 1366890311
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
-
- Federally Qualified Health Center (FQHC)
- Loiza, PR
- NPI 1558664102
Diagnostic Radiology
-
- General Acute Care Hospital
- Fajardo, PR
- NPI 1962280131
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1295727147
-
- Federally Qualified Health Center (FQHC)
- Mayaguez, PR
- NPI 1609969286
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Urgent Care Clinic/Center
- Ponce, PR
- NPI 1336592195
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1669097374
-
- Clinic Pharmacy
- Yauco, PR
- NPI 1093262297
-
- Radiology Clinic/Center
- Mayaguez, PR
- NPI 1912491465
Diagnostic Radiology
-
- Radiology Clinic/Center
- Las Marias, PR
- NPI 1508453051
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1083636179
-
- General Acute Care Hospital
- Aguadilla, PR
- NPI 1922034776
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1104862044
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1821082918
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1275580763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.