Tiffany Marie Soto

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3275 Issued in PR

Practice address

Carr. 183 Ramal 9939
Bo. Montones Parque Industrial Sur 91316, Lote 19
Las Piedras, PR 00771

Phone

(787) 739-8182

NPI assigned

Apr 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Servicios de Salud Primarios de Barceloneta, Inc.

  • Clinical Medical Laboratory
  • Barceloneta, PR
  • NPI 1396813549
  NPD (past)

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1134573421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 URB HACIENDAS DE CAMUY",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 183 RAMAL 9939",
            "address_2": "BO. MONTONES PARQUE INDUSTRIAL SUR 91316, LOTE 19",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sica Medical LLC
• Adleen Yelissa Silva Alicea, THL/TO
• Carmen Silva Serrano, 11266 M.D
• Marilyn Soto Escribano, PSYCOLOGIST
• Luz Katherine Soto Rivera
• Star of Steel Ambulance LLC
• Sto, Inc.
• Technical Professional of Health
• Terapiando LLC
• Terapias Integradas Individualizadas PSC

• General Practice Dentistry in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.