Individual provider Active NPI

Sandra Violeta Soto, M.D.

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1124115001
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16596 Issued in PR
Practice address
77 Calle Bruno Cruz
Local Num 1
Toa Baja, PR 00949-2443
Phone
(787) 794-1497
Fax
(787) 794-1497
NPI assigned
Oct 10, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16596 PR Primary

Addresses

Primary practice location

77 Calle Bruno Cruz
Local Num 1
Toa Baja, PR 00949-2443

Mailing address

145 Calle Cielo Rubi
Urbanizacion Cielo Dorado Villege
Vega Alta, PR 00692-0000
Phone (787) 794-1497

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
I20061221000278 PR Practitioner - General Practice 6002816097 Reassigns benefits to 1 organization
Practice locations: Toa Baja, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Medico Visitante...,P.S.C. CurrentSince Mar 30, 2013 Accepting new patients
Vega Alta Community Health Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1124115001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CALLE CIELO RUBI",
            "address_2": "URBANIZACION CIELO DORADO VILLEGE",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920000",
            "telephone_number": "787-794-1497",
            "fax_number": "787-794-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE BRUNO CRUZ",
            "address_2": "LOCAL NUM 1",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492443",
            "telephone_number": "787-794-1497",
            "fax_number": "787-794-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "SANDRA",
        "middle_name": "VIOLETA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.