Active NPI
Edwin D Soto Gonzalez, MD
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1154383727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8016
- Practice address
- 2053 Ave Pedro Albizu Campos
#3
Aguadilla, PR 00603 - Phone
- (787) 891-5130
- Fax
- (787) 891-5130
- NPI assigned
- Apr 6, 2006
- Last updated
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8016 | PR | Primary |
Addresses
Primary practice location
2053 Ave Pedro Albizu Campos
#3
Aguadilla, PR 00603
Mailing address
PO Box 250437
Aguadilla, PR 00604-0437
Phone (787) 891-5130
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121008000506 | PR | Practitioner - General Practice | 1557510559 | Practice locations: Aguadilla, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2053 Ave Pedro Albizu Campos
Suite 3
Aguadilla, PR 00603-5950
Phone (787) 891-5130
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8016 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Zone Aguadilla LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1154383727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250437",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006040437",
"telephone_number": "787-891-5130",
"fax_number": "787-891-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 AVE PEDRO ALBIZU CAMPOS",
"address_2": "#3",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-891-5130",
"fax_number": "787-891-5130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO GONZALEZ",
"first_name": "EDWIN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.