Individual provider Active NPI

William Soto Aviles, M.D.

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1184959025
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17746 Issued in PR
Practice address
611 Calle Ezequiel # G-27
Urb.Brisas del Campanero
Toa Baja, PR 00949-2235
Phone
(787) 315-2219
NPI assigned
Oct 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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 17746 PR Primary

Addresses

Primary practice location

611 Calle Ezequiel # G-27
Urb.Brisas del Campanero
Toa Baja, PR 00949-2235

Mailing address

611 Calle Ezequiel # G-27
Urb.Brisas del Campanero
Toa Baja, PR 00949-2235
Phone (787) 315-2219

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
I20101122000151 PR Practitioner - General Practice 6901092659 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17746PRMDGeneral Practice Physician

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1184959025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CALLE EZEQUIEL # G-27",
            "address_2": "URB.BRISAS DEL CAMPANERO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492235",
            "telephone_number": "787-315-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE EZEQUIEL # G-27",
            "address_2": "URB.BRISAS DEL CAMPANERO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492235",
            "telephone_number": "787-315-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO AVILES",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.