Individual provider Active NPI

Juan Carlos Molina Soto

  • Clinical Social Worker
  • Aguadilla, PR
National Provider Identifier
1073088332
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22249 Issued in PR
Practice address
Aps Clinics of Puerto Rico
Edificio Plaza del Mar Carr 107 KM 2.3
Aguadilla, PR 00603
Phone
(787) 641-9133
NPI assigned
Oct 12, 2018
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22249 PR Primary

Addresses

Primary practice location

Aps Clinics of Puerto Rico
Edificio Plaza del Mar Carr 107 KM 2.3
Aguadilla, PR 00603

Mailing address

Calle Colon #4 Carr. 115 KM 24.5
Edif. Aguada Complex 2DO Piso Suite 5
Aguada, PR 00602
Phone (787) 487-9086

Other practice location 1

Calle Colon #4 Carr. 115 Km 24.5
Edif. Aguada Complex 2do Piso Suite 5
Aguada, PR 00602
Phone (787) 487-9086

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226001836 PR Practitioner - Clinical Social Worker 0941737274 Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22249PRMDClinical Social Worker
14486PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1073088332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE COLON #4 CARR. 115 KM 24.5",
            "address_2": "EDIF. AGUADA COMPLEX 2DO PISO SUITE 5",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-487-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APS CLINICS OF PUERTO RICO",
            "address_2": "EDIFICIO PLAZA DEL MAR CARR 107 KM 2.3",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-641-9133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Colon #4 Carr. 115 Km 24.5",
            "address_2": "Edif. Aguada Complex 2do Piso Suite 5",
            "address_purpose": "LOCATION",
            "city": "Aguada",
            "state": "PR",
            "postal_code": "00602",
            "country_code": "US",
            "telephone_number": "787-487-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA SOTO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-12",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "22249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.